| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
519 |
489 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
550 |
519 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,098 |
1,023 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,690 |
3,150 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
2,008 |
1,858 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
463 |
445 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
174 |
164 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
109 |
103 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
164 |
158 |
$2K |
| 76801 |
|
62 |
55 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
38 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
46 |
38 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
39 |
$965.42 |
| 70496 |
|
15 |
13 |
$934.68 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$417.77 |
| 73630 |
|
90 |
86 |
$407.67 |
| 70498 |
|
14 |
12 |
$333.66 |
| 74018 |
|
109 |
93 |
$320.30 |
| 73130 |
|
41 |
38 |
$198.33 |
| 73030 |
|
42 |
38 |
$171.72 |
| 72100 |
|
13 |
12 |
$76.31 |