| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,213 |
3,973 |
$257K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
515 |
499 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
8,918 |
8,158 |
$48K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
989 |
942 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
10,719 |
8,835 |
$40K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
883 |
788 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
642 |
621 |
$22K |
| 73610 |
|
1,663 |
1,461 |
$20K |
| 73630 |
|
2,123 |
1,876 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
539 |
508 |
$16K |
| 72110 |
|
1,054 |
976 |
$16K |
| 73564 |
|
1,297 |
1,110 |
$16K |
| 73130 |
|
1,748 |
1,439 |
$16K |
| 73030 |
|
1,637 |
1,453 |
$15K |
| 93970 |
|
547 |
506 |
$7K |
| 73562 |
|
943 |
708 |
$6K |
| 73110 |
|
610 |
513 |
$6K |
| 74018 |
|
1,439 |
1,250 |
$6K |
| 72100 |
|
390 |
379 |
$5K |
| 76770 |
|
177 |
170 |
$4K |
| 73502 |
|
819 |
739 |
$4K |
| 76801 |
|
92 |
80 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
71 |
69 |
$2K |
| 93971 |
|
218 |
207 |
$2K |
| 76830 |
Ultrasound, transvaginal |
64 |
60 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
133 |
115 |
$2K |
| 73590 |
|
177 |
143 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
51 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
70 |
68 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
28 |
$933.73 |
| 72040 |
|
50 |
50 |
$480.41 |
| 73080 |
|
42 |
41 |
$414.05 |
| 73560 |
|
39 |
32 |
$372.76 |
| 71250 |
|
15 |
13 |
$366.64 |
| 72050 |
|
12 |
12 |
$208.57 |
| 72052 |
|
12 |
12 |
$192.72 |
| 72072 |
|
20 |
12 |
$167.27 |
| 73090 |
|
15 |
14 |
$120.43 |
| 73140 |
|
12 |
12 |
$68.41 |
| 99053 |
|
106 |
94 |
$0.00 |