| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
672 |
632 |
$43K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
260 |
250 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,175 |
1,101 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,588 |
1,316 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$446.65 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$307.22 |
| 93971 |
|
13 |
12 |
$133.62 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
14 |
14 |
$0.00 |