| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
288 |
286 |
$25K |
| 93975 |
|
279 |
264 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
267 |
259 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,157 |
887 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,077 |
719 |
$7K |
| 76770 |
|
211 |
199 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
213 |
196 |
$6K |
| 74018 |
|
1,398 |
582 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
123 |
117 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
138 |
136 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
128 |
119 |
$4K |
| 76830 |
Ultrasound, transvaginal |
93 |
89 |
$3K |
| 76506 |
|
113 |
87 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
67 |
66 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$1K |
| 74019 |
|
168 |
114 |
$1K |
| 73630 |
|
95 |
84 |
$754.20 |
| 73130 |
|
64 |
59 |
$534.46 |
| 93976 |
|
12 |
12 |
$512.54 |
| 73090 |
|
30 |
27 |
$234.14 |
| 73610 |
|
27 |
27 |
$233.77 |