| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
101 |
96 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
86 |
82 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
635 |
532 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
47 |
42 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
395 |
371 |
$4K |
| 71020 |
|
54 |
54 |
$813.66 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$522.00 |
| 71010 |
|
13 |
13 |
$204.00 |