| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,897 |
5,195 |
$278K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,563 |
10,689 |
$259K |
| 71045 |
Radiologic examination, chest; single view |
51,975 |
32,426 |
$183K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,778 |
1,587 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
7,240 |
6,468 |
$46K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,780 |
1,592 |
$45K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
372 |
352 |
$15K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
518 |
448 |
$14K |
| 93976 |
|
471 |
417 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
645 |
581 |
$13K |
| 71250 |
|
828 |
737 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
421 |
359 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
386 |
331 |
$8K |
| 74018 |
|
1,553 |
875 |
$7K |
| 93975 |
|
139 |
124 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
164 |
150 |
$3K |
| 93970 |
|
304 |
276 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
97 |
89 |
$3K |
| 93971 |
|
265 |
214 |
$2K |
| 76801 |
|
25 |
24 |
$881.22 |
| 76830 |
Ultrasound, transvaginal |
30 |
25 |
$575.22 |
| 72100 |
|
69 |
67 |
$506.03 |
| 78580 |
|
29 |
27 |
$487.93 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
14 |
$353.14 |
| 73610 |
|
31 |
28 |
$177.70 |
| 70544 |
|
57 |
55 |
$120.42 |
| 70547 |
|
13 |
13 |
$114.36 |
| 74019 |
|
13 |
13 |
$101.88 |
| 73130 |
|
15 |
14 |
$71.11 |
| 76770 |
|
15 |
15 |
$68.56 |
| 73502 |
|
15 |
12 |
$20.13 |