| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
928 |
877 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
2,219 |
2,093 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,594 |
2,203 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
526 |
492 |
$9K |
| 73630 |
|
1,007 |
942 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
182 |
167 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
148 |
140 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
81 |
78 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
79 |
76 |
$2K |
| 73562 |
|
247 |
241 |
$2K |
| 71250 |
|
71 |
67 |
$2K |
| 73610 |
|
234 |
215 |
$1K |
| 72100 |
|
189 |
184 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
27 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
30 |
27 |
$1K |
| 76830 |
Ultrasound, transvaginal |
41 |
39 |
$1K |
| 72110 |
|
106 |
104 |
$1K |
| 74018 |
|
180 |
150 |
$982.43 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
14 |
$847.46 |
| 73030 |
|
132 |
119 |
$843.04 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$814.64 |
| 71271 |
|
12 |
12 |
$433.70 |
| 76770 |
|
27 |
25 |
$373.90 |
| 73130 |
|
58 |
55 |
$362.80 |
| 73110 |
|
57 |
51 |
$354.39 |
| 73502 |
|
24 |
24 |
$197.38 |
| 93971 |
|
13 |
12 |
$95.19 |
| 77080 |
|
14 |
12 |
$44.88 |