| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
7,239 |
5,409 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,205 |
989 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
397 |
344 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,476 |
1,392 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
72 |
46 |
$1K |
| 74018 |
|
157 |
122 |
$628.40 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
15 |
$551.67 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$468.73 |
| 76801 |
|
15 |
15 |
$391.68 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
16 |
15 |
$316.20 |
| 74019 |
|
25 |
24 |
$155.24 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
12 |
$0.00 |
| 99070 |
|
19 |
15 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
479 |
365 |
$0.00 |