| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
387 |
381 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
480 |
453 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
2,131 |
1,807 |
$21K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
263 |
170 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
25 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
56 |
44 |
$2K |
| 73221 |
|
38 |
27 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
39 |
$888.43 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$671.82 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$477.21 |
| 71046 |
Radiologic examination, chest; 2 views |
51 |
50 |
$476.86 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$336.24 |
| 73630 |
|
16 |
12 |
$169.54 |
| 99053 |
|
983 |
898 |
$0.00 |