| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,783 |
2,572 |
$187K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,067 |
1,957 |
$98K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
790 |
742 |
$83K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,877 |
1,770 |
$78K |
| 71045 |
Radiologic examination, chest; single view |
5,659 |
5,106 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
3,723 |
3,385 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
391 |
348 |
$12K |
| 73610 |
|
697 |
634 |
$10K |
| 73630 |
|
811 |
713 |
$8K |
| 73130 |
|
750 |
615 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
125 |
114 |
$4K |
| 71250 |
|
130 |
120 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
99 |
85 |
$3K |
| 76801 |
|
70 |
59 |
$2K |
| 73030 |
|
231 |
206 |
$2K |
| 73110 |
|
153 |
146 |
$2K |
| 74018 |
|
314 |
289 |
$1K |
| 76830 |
Ultrasound, transvaginal |
18 |
12 |
$611.15 |
| 72110 |
|
29 |
26 |
$522.42 |
| 73562 |
|
47 |
41 |
$506.26 |
| 93970 |
|
21 |
12 |
$393.71 |
| 73590 |
|
17 |
12 |
$247.25 |
| 73090 |
|
30 |
25 |
$246.80 |
| 99053 |
|
643 |
538 |
$195.00 |
| 73564 |
|
17 |
14 |
$188.70 |