| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
644 |
604 |
$39K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
506 |
500 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
3,171 |
2,808 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,644 |
1,579 |
$10K |
| 73610 |
|
81 |
78 |
$1K |
| 73630 |
|
85 |
80 |
$848.26 |
| 74018 |
|
149 |
137 |
$735.38 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$297.68 |
| 73030 |
|
12 |
12 |
$97.26 |