| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
512 |
483 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
356 |
330 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,134 |
1,044 |
$5K |
| 93975 |
|
155 |
108 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
676 |
657 |
$4K |
| 49083 |
|
40 |
26 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
99 |
95 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
13 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
42 |
38 |
$2K |
| 99152 |
|
154 |
135 |
$916.98 |
| 99153 |
Mod sedat endo service >5yrs |
53 |
44 |
$530.65 |
| 73610 |
|
37 |
35 |
$527.94 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$519.89 |
| 73630 |
|
45 |
40 |
$514.74 |
| 74018 |
|
88 |
83 |
$473.91 |
| 72100 |
|
33 |
33 |
$436.44 |
| 73564 |
|
30 |
27 |
$430.52 |
| 73130 |
|
16 |
12 |
$169.09 |
| 72170 |
|
15 |
12 |
$142.68 |