| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,534 |
1,292 |
$63K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,132 |
1,789 |
$51K |
| 71045 |
Radiologic examination, chest; single view |
11,165 |
8,461 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
6,642 |
6,098 |
$39K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
261 |
218 |
$10K |
| 74018 |
|
543 |
473 |
$3K |
| 73630 |
|
145 |
125 |
$923.59 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$450.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$360.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
17 |
$322.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$264.00 |
| 73610 |
|
28 |
24 |
$195.36 |
| 73130 |
|
40 |
24 |
$163.36 |