| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,970 |
1,806 |
$118K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,713 |
2,559 |
$115K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
575 |
533 |
$54K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
742 |
683 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
4,981 |
4,128 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
523 |
508 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,435 |
2,338 |
$14K |
| 71250 |
|
259 |
244 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
289 |
283 |
$5K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
116 |
114 |
$3K |
| 73630 |
|
320 |
293 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
97 |
85 |
$3K |
| 73564 |
|
185 |
164 |
$2K |
| 73610 |
|
113 |
103 |
$2K |
| 73030 |
|
83 |
74 |
$845.97 |
| 73130 |
|
68 |
65 |
$645.93 |
| 74018 |
|
121 |
110 |
$622.56 |
| 72100 |
|
43 |
42 |
$541.18 |
| 71271 |
|
12 |
12 |
$366.42 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$247.82 |
| 93971 |
|
25 |
24 |
$150.78 |
| 73110 |
|
14 |
12 |
$149.95 |
| 73502 |
|
13 |
12 |
$47.25 |