| Code | Description | Claims | Bene. Records | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,856 |
1,762 |
$114K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,976 |
1,870 |
$95K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
575 |
548 |
$62K |
| 76801 |
|
1,477 |
1,404 |
$48K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,300 |
1,261 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
7,230 |
5,787 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
907 |
846 |
$29K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
975 |
730 |
$24K |
| 76830 |
Ultrasound, transvaginal |
650 |
594 |
$24K |
| 76818 |
|
689 |
458 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
660 |
614 |
$22K |
| 93970 |
|
863 |
820 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
324 |
301 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
262 |
245 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
155 |
150 |
$7K |
| 93975 |
|
151 |
131 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
244 |
238 |
$5K |
| 93971 |
|
385 |
341 |
$4K |
| 73562 |
|
393 |
358 |
$4K |
| 93922 |
|
180 |
168 |
$4K |
| 71250 |
|
93 |
86 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
483 |
464 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
54 |
$2K |
| 76536 |
|
44 |
38 |
$2K |
| 93976 |
|
71 |
70 |
$2K |
| 74174 |
|
33 |
30 |
$2K |
| 73610 |
|
108 |
100 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
33 |
28 |
$2K |
| 76770 |
|
59 |
57 |
$2K |
| 73590 |
|
110 |
92 |
$1K |
| 76820 |
|
24 |
14 |
$970.26 |
| 73630 |
|
85 |
77 |
$863.94 |
| 70486 |
|
20 |
20 |
$788.12 |
| 73565 |
|
57 |
50 |
$783.85 |
| 93880 |
|
80 |
76 |
$632.48 |
| 72170 |
|
77 |
66 |
$625.19 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$537.27 |
| 73030 |
|
44 |
38 |
$484.86 |
| 76937 |
|
83 |
75 |
$336.42 |
| 73560 |
|
28 |
25 |
$301.35 |
| 73130 |
|
30 |
26 |
$266.44 |
| 74018 |
|
13 |
13 |
$55.40 |