| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
541 |
510 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
365 |
351 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
45 |
44 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
654 |
642 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
797 |
747 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
47 |
46 |
$2K |
| 93975 |
|
44 |
38 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
62 |
61 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
34 |
32 |
$1K |
| 76830 |
Ultrasound, transvaginal |
31 |
28 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
29 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$527.75 |
| 72110 |
|
12 |
12 |
$211.10 |
| 74018 |
|
28 |
26 |
$132.62 |
| 73130 |
|
13 |
13 |
$130.89 |