| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,120 |
1,084 |
$69K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,092 |
1,042 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
3,525 |
2,926 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
366 |
331 |
$11K |
| 76830 |
Ultrasound, transvaginal |
319 |
286 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
304 |
286 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,531 |
1,420 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
92 |
90 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
219 |
207 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
276 |
233 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
243 |
208 |
$8K |
| 71250 |
|
232 |
225 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
181 |
175 |
$3K |
| 73562 |
|
180 |
136 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
56 |
51 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
71 |
71 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
42 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
39 |
39 |
$979.67 |
| 93970 |
|
52 |
51 |
$892.59 |
| 73610 |
|
52 |
50 |
$681.86 |
| 74018 |
|
151 |
138 |
$643.92 |
| 73630 |
|
69 |
62 |
$619.38 |
| 73030 |
|
41 |
37 |
$451.49 |
| 76770 |
|
13 |
13 |
$349.00 |
| 93971 |
|
13 |
13 |
$138.74 |