| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,408 |
2,204 |
$148K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,128 |
1,054 |
$53K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
293 |
258 |
$29K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
847 |
755 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
2,608 |
2,419 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,811 |
2,544 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
214 |
199 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
362 |
353 |
$8K |
| 73562 |
|
619 |
545 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
200 |
200 |
$6K |
| 76830 |
Ultrasound, transvaginal |
188 |
186 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
82 |
75 |
$6K |
| 70498 |
|
66 |
54 |
$6K |
| 70486 |
|
151 |
132 |
$5K |
| 73610 |
|
378 |
340 |
$5K |
| 73030 |
|
411 |
363 |
$4K |
| 72100 |
|
324 |
286 |
$4K |
| 73630 |
|
361 |
319 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
112 |
112 |
$3K |
| 73130 |
|
333 |
275 |
$3K |
| 70496 |
|
32 |
28 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
90 |
88 |
$3K |
| 73110 |
|
206 |
174 |
$2K |
| 93971 |
|
123 |
112 |
$1K |
| 73502 |
|
210 |
186 |
$1K |
| 72131 |
|
33 |
27 |
$1K |
| 76536 |
|
30 |
30 |
$734.37 |
| 74018 |
|
147 |
132 |
$728.58 |
| 73590 |
|
81 |
71 |
$604.51 |
| 72040 |
|
53 |
41 |
$513.74 |
| 77080 |
|
95 |
95 |
$392.70 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$333.31 |
| 93970 |
|
13 |
13 |
$252.84 |
| 73090 |
|
31 |
27 |
$242.22 |
| 73080 |
|
23 |
13 |
$197.85 |
| 73620 |
|
15 |
12 |
$140.56 |
| 73140 |
|
12 |
12 |
$121.20 |