| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
118 |
117 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
111 |
108 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,040 |
963 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$644.39 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
19 |
16 |
$539.00 |
| 71046 |
Radiologic examination, chest; 2 views |
78 |
77 |
$444.60 |
| 74018 |
|
15 |
13 |
$54.16 |