| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
998 |
873 |
$58K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
848 |
768 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
2,416 |
2,079 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
213 |
200 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
61 |
55 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,320 |
907 |
$5K |
| 73610 |
|
83 |
73 |
$1K |
| 73630 |
|
88 |
80 |
$876.30 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
24 |
$550.16 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$503.30 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$467.35 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$455.36 |
| 74018 |
|
48 |
29 |
$214.59 |
| 73130 |
|
18 |
13 |
$193.92 |
| 73030 |
|
13 |
13 |
$135.17 |
| 73110 |
|
12 |
12 |
$133.20 |