| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,074 |
996 |
$70K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
524 |
492 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
2,304 |
1,774 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,538 |
1,411 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
43 |
42 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
123 |
110 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
99 |
93 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
139 |
134 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
25 |
$898.75 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$466.98 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$431.40 |
| 76770 |
|
12 |
12 |
$423.09 |
| 74018 |
|
100 |
97 |
$389.32 |
| 93976 |
|
13 |
13 |
$253.78 |
| 73630 |
|
15 |
14 |
$152.25 |
| 73130 |
|
12 |
12 |
$111.03 |
| 93971 |
|
12 |
12 |
$107.92 |