| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
864 |
794 |
$53K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
702 |
668 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
2,921 |
2,308 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
92 |
81 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,697 |
1,537 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
192 |
177 |
$7K |
| 76830 |
Ultrasound, transvaginal |
137 |
123 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
149 |
140 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
60 |
53 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
33 |
24 |
$923.37 |
| 73564 |
|
77 |
53 |
$919.67 |
| 73630 |
|
65 |
64 |
$706.43 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
15 |
$457.65 |
| 73030 |
|
31 |
27 |
$332.85 |
| 73610 |
|
15 |
15 |
$189.89 |
| 99053 |
|
30 |
12 |
$0.00 |