| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,168 |
1,111 |
$52K |
| 70450 |
Computed tomography, head or brain; without contrast material |
836 |
790 |
$52K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
335 |
313 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
3,067 |
2,865 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
407 |
398 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
516 |
495 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
555 |
516 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,666 |
3,048 |
$14K |
| 76830 |
Ultrasound, transvaginal |
312 |
303 |
$10K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
118 |
117 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
284 |
281 |
$5K |
| 73221 |
|
26 |
26 |
$3K |
| 93970 |
|
173 |
157 |
$3K |
| 93971 |
|
221 |
213 |
$2K |
| 73030 |
|
199 |
185 |
$2K |
| 73564 |
|
134 |
129 |
$2K |
| 76801 |
|
48 |
46 |
$1K |
| 76770 |
|
52 |
51 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
56 |
51 |
$1K |
| 73630 |
|
126 |
119 |
$1K |
| 72110 |
|
64 |
64 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
33 |
32 |
$704.96 |
| 73610 |
|
40 |
39 |
$465.51 |
| 73130 |
|
55 |
42 |
$450.12 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$232.69 |
| 72100 |
|
16 |
14 |
$220.46 |