| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
496 |
458 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
445 |
432 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
173 |
153 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
721 |
698 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
793 |
761 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
90 |
80 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
58 |
57 |
$2K |
| 70498 |
|
33 |
28 |
$2K |
| 70496 |
|
33 |
28 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$334.11 |
| 73130 |
|
35 |
28 |
$307.12 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$277.16 |
| 73630 |
|
16 |
13 |
$165.03 |
| 73030 |
|
14 |
12 |
$118.44 |