| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
815 |
766 |
$54K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
457 |
454 |
$20K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
936 |
905 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,978 |
2,620 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
254 |
238 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,504 |
1,397 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
126 |
120 |
$4K |
| 76830 |
Ultrasound, transvaginal |
80 |
76 |
$3K |
| 74018 |
|
264 |
225 |
$1K |
| 76775 |
|
51 |
51 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
24 |
$898.75 |
| 93976 |
|
43 |
37 |
$807.61 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$459.82 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
12 |
$420.51 |
| 73030 |
|
38 |
33 |
$379.21 |
| 93971 |
|
39 |
38 |
$329.66 |
| 72110 |
|
20 |
18 |
$329.17 |
| 73610 |
|
19 |
17 |
$235.91 |
| 77080 |
|
25 |
25 |
$227.59 |
| 73562 |
|
22 |
16 |
$190.02 |
| 73630 |
|
17 |
15 |
$175.44 |
| 72100 |
|
12 |
12 |
$154.33 |