| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
3,412 |
2,640 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,364 |
2,330 |
$19K |
| 73630 |
|
665 |
656 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
208 |
205 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
74 |
73 |
$4K |
| 73610 |
|
536 |
528 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
110 |
109 |
$4K |
| 74018 |
|
498 |
479 |
$3K |
| 73562 |
|
365 |
362 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
41 |
$3K |
| 73130 |
|
330 |
324 |
$3K |
| 73030 |
|
308 |
301 |
$3K |
| 72110 |
|
164 |
161 |
$2K |
| 71250 |
|
41 |
41 |
$2K |
| 73110 |
|
167 |
159 |
$1K |
| 76536 |
|
43 |
43 |
$992.82 |
| 73502 |
|
123 |
118 |
$894.56 |
| 72100 |
|
91 |
91 |
$821.62 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$782.92 |
| 71271 |
|
17 |
17 |
$640.78 |
| 72050 |
|
26 |
26 |
$313.41 |
| 77080 |
|
31 |
31 |
$179.80 |
| 73090 |
|
13 |
13 |
$91.61 |
| 73080 |
|
12 |
12 |
$86.14 |
| 72072 |
|
12 |
12 |
$85.82 |
| 72170 |
|
12 |
12 |
$85.58 |