| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
216 |
198 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
457 |
443 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
552 |
528 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
51 |
51 |
$2K |
| 76830 |
Ultrasound, transvaginal |
45 |
44 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
15 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
45 |
44 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
31 |
29 |
$1K |
| 73030 |
|
72 |
68 |
$709.88 |
| 73562 |
|
70 |
63 |
$660.71 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
33 |
$644.43 |
| 72100 |
|
51 |
49 |
$573.89 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$448.30 |
| 70486 |
|
12 |
12 |
$353.30 |
| 73630 |
|
31 |
31 |
$300.51 |
| 73130 |
|
32 |
30 |
$297.44 |
| 73610 |
|
12 |
12 |
$146.71 |
| 73110 |
|
14 |
13 |
$108.80 |
| 77080 |
|
15 |
15 |
$106.31 |
| 73502 |
|
13 |
13 |
$61.29 |