| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
110 |
107 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
213 |
212 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,133 |
841 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
622 |
507 |
$7K |
| 76770 |
|
63 |
63 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
35 |
34 |
$3K |
| 72141 |
|
20 |
14 |
$3K |
| 74018 |
|
393 |
275 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
18 |
12 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$703.74 |
| 73030 |
|
46 |
42 |
$599.15 |
| 76801 |
|
12 |
12 |
$557.37 |
| 73630 |
|
51 |
48 |
$495.36 |
| 72100 |
|
12 |
12 |
$280.15 |
| 73610 |
|
16 |
13 |
$163.29 |
| 73564 |
|
13 |
12 |
$149.66 |
| 99053 |
|
146 |
142 |
$0.00 |