| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16,592 |
10,456 |
$363K |
| 70450 |
Computed tomography, head or brain; without contrast material |
39,699 |
26,056 |
$326K |
| 71045 |
Radiologic examination, chest; single view |
129,664 |
84,112 |
$218K |
| 71046 |
Radiologic examination, chest; 2 views |
7,082 |
6,186 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,399 |
904 |
$23K |
| 49083 |
|
363 |
193 |
$17K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
415 |
306 |
$10K |
| 74018 |
|
2,557 |
1,676 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
370 |
223 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
138 |
101 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
165 |
110 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
61 |
52 |
$1K |
| 93971 |
|
93 |
76 |
$714.64 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
25 |
$620.10 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
17 |
13 |
$352.85 |
| 93976 |
|
66 |
16 |
$299.17 |
| 72100 |
|
113 |
76 |
$245.79 |
| 73630 |
|
66 |
27 |
$125.62 |
| 73562 |
|
87 |
41 |
$125.09 |
| 73610 |
|
61 |
25 |
$106.70 |
| 73130 |
|
77 |
25 |
$84.84 |
| 76830 |
Ultrasound, transvaginal |
45 |
12 |
$58.00 |
| 99152 |
|
33 |
25 |
$46.74 |