| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,343 |
3,106 |
$80K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,282 |
1,193 |
$66K |
| 74150 |
|
1,428 |
1,314 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
4,046 |
3,223 |
$28K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,471 |
1,433 |
$25K |
| 72192 |
|
1,149 |
1,078 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
1,028 |
1,002 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
140 |
131 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
128 |
125 |
$1K |
| 71250 |
|
38 |
36 |
$1K |
| 71020 |
|
98 |
45 |
$826.28 |
| 73564 |
|
87 |
85 |
$458.83 |
| 73130 |
|
65 |
64 |
$354.75 |
| 74018 |
|
76 |
53 |
$336.85 |
| 73610 |
|
40 |
39 |
$157.14 |
| 73630 |
|
27 |
27 |
$111.35 |
| 72100 |
|
14 |
14 |
$91.74 |
| 73110 |
|
12 |
12 |
$52.80 |