| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
501 |
458 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
817 |
745 |
$23K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
288 |
259 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
220 |
205 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,349 |
1,187 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
67 |
59 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,544 |
992 |
$5K |
| 76830 |
Ultrasound, transvaginal |
148 |
122 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
124 |
114 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
198 |
179 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
81 |
73 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
58 |
51 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
71 |
63 |
$1K |
| 73130 |
|
106 |
83 |
$862.00 |
| 73562 |
|
98 |
77 |
$847.82 |
| 76770 |
|
29 |
27 |
$801.84 |
| 93976 |
|
53 |
45 |
$756.28 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
27 |
25 |
$629.72 |
| 76801 |
|
19 |
15 |
$371.04 |
| 73030 |
|
28 |
25 |
$241.28 |
| 73630 |
|
30 |
24 |
$240.04 |
| 72100 |
|
13 |
12 |
$186.55 |
| 74018 |
|
61 |
47 |
$175.04 |
| 73610 |
|
17 |
15 |
$159.63 |