| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
398 |
367 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
407 |
363 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
1,239 |
935 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
75 |
70 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
24 |
$2K |
| 71010 |
|
221 |
185 |
$686.18 |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
39 |
$439.93 |
| 71020 |
|
140 |
131 |
$376.55 |
| 74018 |
|
14 |
13 |
$110.90 |
| 99053 |
|
20 |
19 |
$0.00 |