| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,907 |
1,897 |
$193K |
| 93351 |
|
1,189 |
1,177 |
$99K |
| 93925 |
|
1,345 |
1,338 |
$91K |
| 93880 |
|
1,656 |
1,645 |
$89K |
| 93978 |
|
1,453 |
1,450 |
$76K |
| 93970 |
|
1,104 |
1,101 |
$62K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
794 |
782 |
$62K |
| 93975 |
|
558 |
558 |
$55K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,530 |
1,528 |
$47K |
| 93886 |
|
691 |
681 |
$35K |
| 95923 |
|
978 |
976 |
$35K |
| 93892 |
|
597 |
587 |
$32K |
| 93890 |
|
597 |
587 |
$25K |
| 95921 |
|
978 |
976 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
599 |
589 |
$25K |
| 93320 |
|
1,176 |
1,164 |
$24K |
| 93923 |
|
677 |
676 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
929 |
929 |
$22K |
| 93922 |
|
773 |
771 |
$19K |
| 76536 |
|
538 |
538 |
$17K |
| 93325 |
|
1,176 |
1,164 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
168 |
168 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
82 |
80 |
$8K |
| 94729 |
|
220 |
220 |
$5K |
| 93976 |
|
95 |
76 |
$3K |
| 93321 |
|
296 |
293 |
$3K |
| 94727 |
|
220 |
220 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
52 |
46 |
$2K |
| 94010 |
|
208 |
208 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
16 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
39 |
$950.13 |
| 94200 |
|
119 |
119 |
$569.89 |
| 93931 |
|
28 |
28 |
$475.92 |
| 73562 |
|
16 |
14 |
$183.78 |
| 71045 |
Radiologic examination, chest; single view |
81 |
80 |
$110.13 |
| 72100 |
|
13 |
13 |
$93.68 |
| 72220 |
|
13 |
13 |
$76.21 |
| 93017 |
|
489 |
485 |
$0.00 |