| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,652 |
4,358 |
$298K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,892 |
1,795 |
$190K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,380 |
3,195 |
$149K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,074 |
1,985 |
$76K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,629 |
1,505 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
10,600 |
9,072 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
3,980 |
3,693 |
$22K |
| 73630 |
|
666 |
600 |
$7K |
| 73130 |
|
607 |
540 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
156 |
144 |
$5K |
| 73610 |
|
321 |
297 |
$4K |
| 76801 |
|
131 |
115 |
$4K |
| 70486 |
|
126 |
123 |
$4K |
| 71250 |
|
159 |
148 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
111 |
102 |
$3K |
| 74018 |
|
710 |
613 |
$3K |
| 73030 |
|
223 |
185 |
$2K |
| 70496 |
|
28 |
25 |
$2K |
| 70498 |
|
15 |
12 |
$1K |
| 73110 |
|
66 |
64 |
$713.43 |
| 72131 |
|
16 |
16 |
$562.80 |
| 93971 |
|
44 |
44 |
$431.89 |
| 73562 |
|
26 |
25 |
$256.28 |
| 73564 |
|
13 |
13 |
$129.02 |
| 73502 |
|
14 |
14 |
$80.26 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
15 |
14 |
$0.00 |
| 99053 |
|
325 |
294 |
$0.00 |