| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
639 |
630 |
$43K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
296 |
290 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,590 |
2,163 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
423 |
412 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,542 |
1,523 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
129 |
120 |
$11K |
| 73630 |
|
565 |
555 |
$4K |
| 73610 |
|
482 |
470 |
$4K |
| 73564 |
|
322 |
319 |
$4K |
| 73030 |
|
239 |
235 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
36 |
36 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
57 |
57 |
$2K |
| 73130 |
|
209 |
204 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
56 |
56 |
$1K |
| 73110 |
|
165 |
158 |
$1K |
| 71250 |
|
25 |
24 |
$881.90 |
| 76536 |
|
29 |
29 |
$736.52 |
| 76830 |
Ultrasound, transvaginal |
21 |
19 |
$693.00 |
| 73562 |
|
28 |
28 |
$262.82 |
| 72110 |
|
17 |
16 |
$240.78 |
| 74018 |
|
27 |
25 |
$207.15 |
| 73502 |
|
26 |
26 |
$203.01 |
| 73590 |
|
13 |
12 |
$89.87 |