| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,933 |
2,583 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,155 |
1,149 |
$6K |
| 99490 |
Ccm add 20min |
347 |
347 |
$3K |
| 71250 |
|
150 |
150 |
$3K |
| 99439 |
|
258 |
258 |
$2K |
| 99458 |
|
244 |
244 |
$2K |
| 99457 |
|
360 |
360 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
80 |
78 |
$1K |
| 99454 |
|
171 |
171 |
$807.86 |
| 99091 |
|
13 |
13 |
$634.92 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$599.38 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$509.41 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$149.73 |
| 74018 |
|
12 |
12 |
$77.92 |
| 94762 |
|
18 |
18 |
$40.22 |
| 99437 |
|
13 |
13 |
$14.00 |
| 2010F |
|
16 |
16 |
$0.00 |