| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
4,331 |
3,577 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
322 |
309 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
915 |
889 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,708 |
1,699 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
138 |
138 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
30 |
$857.50 |
| 73630 |
|
109 |
91 |
$322.92 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$255.04 |
| 73030 |
|
47 |
42 |
$163.48 |
| 76770 |
|
26 |
26 |
$133.67 |
| 73110 |
|
28 |
26 |
$117.48 |
| 71250 |
|
14 |
14 |
$113.15 |
| 72100 |
|
24 |
24 |
$62.55 |
| 73130 |
|
13 |
13 |
$47.19 |
| 74018 |
|
12 |
12 |
$47.10 |
| 73590 |
|
16 |
12 |
$43.19 |
| 73610 |
|
15 |
13 |
$36.43 |