| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,531 |
1,444 |
$93K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,230 |
1,179 |
$59K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
316 |
300 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
3,542 |
3,204 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
373 |
346 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,956 |
1,908 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
242 |
232 |
$10K |
| 93975 |
|
257 |
201 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
342 |
339 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
75 |
72 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
92 |
85 |
$5K |
| 73564 |
|
357 |
339 |
$5K |
| 73630 |
|
350 |
320 |
$4K |
| 73610 |
|
241 |
232 |
$3K |
| 74018 |
|
478 |
445 |
$2K |
| 73030 |
|
218 |
197 |
$2K |
| 72100 |
|
170 |
158 |
$2K |
| 73130 |
|
191 |
162 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
59 |
54 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
37 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
48 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$977.42 |
| 73110 |
|
67 |
65 |
$810.43 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$701.92 |
| 76801 |
|
19 |
19 |
$560.87 |
| 93971 |
|
44 |
43 |
$553.69 |
| 76536 |
|
15 |
14 |
$510.00 |
| 71250 |
|
14 |
14 |
$396.26 |
| 73590 |
|
35 |
25 |
$319.10 |
| 72170 |
|
15 |
13 |
$140.55 |