| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,975 |
2,273 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,143 |
1,129 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
132 |
131 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
337 |
336 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
38 |
38 |
$1K |
| 71250 |
|
52 |
52 |
$672.48 |
| 76536 |
|
25 |
25 |
$624.98 |
| 73630 |
|
117 |
110 |
$386.16 |
| 73562 |
|
41 |
39 |
$202.91 |
| 73610 |
|
35 |
29 |
$157.64 |
| 73130 |
|
19 |
19 |
$134.13 |
| 73110 |
|
15 |
13 |
$108.98 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$106.35 |
| 73560 |
|
15 |
15 |
$93.62 |
| 73551 |
|
14 |
13 |
$44.70 |
| 73030 |
|
12 |
12 |
$38.94 |