| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,108 |
1,055 |
$58K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
601 |
568 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
5,717 |
4,500 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
869 |
809 |
$5K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
79 |
78 |
$3K |
| 93925 |
|
73 |
68 |
$3K |
| 93926 |
|
103 |
81 |
$2K |
| 73630 |
|
188 |
161 |
$2K |
| 73564 |
|
134 |
106 |
$2K |
| 73562 |
|
141 |
120 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
51 |
50 |
$895.17 |
| 73030 |
|
85 |
75 |
$804.56 |
| 74018 |
|
179 |
161 |
$709.24 |
| 73610 |
|
44 |
41 |
$517.28 |
| 72100 |
|
35 |
33 |
$427.91 |
| 99152 |
|
41 |
34 |
$259.68 |
| 72110 |
|
14 |
14 |
$243.06 |
| 93922 |
|
14 |
12 |
$217.21 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$199.63 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$188.10 |
| 73130 |
|
18 |
12 |
$133.76 |
| 72040 |
|
12 |
12 |
$115.58 |
| 73502 |
|
12 |
12 |
$86.68 |