| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
688 |
604 |
$51K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
584 |
551 |
$28K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
164 |
149 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
218 |
189 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
107 |
98 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
806 |
705 |
$4K |
| 70498 |
|
33 |
25 |
$3K |
| 70496 |
|
31 |
24 |
$3K |
| 76830 |
Ultrasound, transvaginal |
62 |
54 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
91 |
85 |
$2K |
| 93975 |
|
62 |
52 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
216 |
203 |
$1K |
| 76801 |
|
32 |
32 |
$989.44 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
36 |
36 |
$845.13 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$413.44 |
| 74018 |
|
14 |
13 |
$65.15 |