| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,624 |
1,508 |
$107K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,084 |
1,008 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
3,855 |
3,431 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,720 |
1,646 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
53 |
49 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
116 |
112 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
38 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
80 |
75 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
36 |
$1K |
| 73630 |
|
71 |
52 |
$795.19 |
| 74018 |
|
26 |
25 |
$100.80 |