| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
6,798 |
6,090 |
$181K |
| 71045 |
Radiologic examination, chest; single view |
33,237 |
26,623 |
$143K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,114 |
1,947 |
$102K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,424 |
1,294 |
$70K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
206 |
173 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
167 |
146 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
981 |
832 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
77 |
76 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
75 |
68 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
19 |
15 |
$959.32 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
38 |
$805.12 |
| 76801 |
|
14 |
14 |
$464.62 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$431.88 |
| 99152 |
|
18 |
14 |
$351.74 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$347.93 |
| 74018 |
|
16 |
12 |
$123.72 |
| 93971 |
|
14 |
13 |
$115.30 |
| 72100 |
|
13 |
13 |
$57.72 |