| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,785 |
1,707 |
$126K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,001 |
976 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
2,992 |
2,746 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,632 |
3,128 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
113 |
111 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
486 |
473 |
$9K |
| 93975 |
|
211 |
170 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
170 |
165 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
140 |
140 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
162 |
157 |
$6K |
| 73630 |
|
277 |
239 |
$3K |
| 72100 |
|
214 |
196 |
$3K |
| 74018 |
|
567 |
482 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
48 |
43 |
$1K |
| 73564 |
|
102 |
91 |
$1K |
| 93976 |
|
50 |
40 |
$1K |
| 76830 |
Ultrasound, transvaginal |
33 |
25 |
$1K |
| 73610 |
|
81 |
77 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$984.85 |
| 73030 |
|
82 |
73 |
$972.24 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
26 |
$636.35 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$574.06 |
| 73130 |
|
42 |
39 |
$402.79 |
| 73502 |
|
41 |
27 |
$251.55 |
| 93971 |
|
12 |
12 |
$107.70 |