| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,634 |
3,276 |
$234K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,332 |
1,262 |
$65K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,278 |
1,137 |
$44K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
232 |
223 |
$25K |
| 70486 |
|
538 |
472 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
4,174 |
3,652 |
$20K |
| 70498 |
|
208 |
197 |
$19K |
| 70496 |
|
179 |
167 |
$16K |
| 71250 |
|
398 |
325 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
260 |
240 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,863 |
1,792 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
200 |
175 |
$9K |
| 72100 |
|
340 |
319 |
$5K |
| 73630 |
|
414 |
351 |
$4K |
| 73562 |
|
364 |
318 |
$4K |
| 73130 |
|
422 |
339 |
$4K |
| 73030 |
|
291 |
259 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
38 |
37 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
112 |
106 |
$2K |
| 74178 |
|
34 |
33 |
$2K |
| 73610 |
|
134 |
127 |
$2K |
| 76830 |
Ultrasound, transvaginal |
47 |
38 |
$2K |
| 70490 |
|
41 |
29 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
37 |
$1K |
| 72170 |
|
136 |
113 |
$1K |
| 73590 |
|
147 |
118 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$987.94 |
| 73110 |
|
82 |
67 |
$895.32 |
| 71271 |
|
25 |
25 |
$859.27 |
| 76377 |
|
31 |
30 |
$561.67 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
12 |
$498.68 |
| 74018 |
|
96 |
93 |
$457.75 |
| 93970 |
|
21 |
21 |
$390.85 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$352.16 |
| 73090 |
|
32 |
26 |
$290.63 |
| 93971 |
|
13 |
13 |
$158.38 |
| 73080 |
|
13 |
13 |
$139.75 |