| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
189 |
165 |
$10K |
| 76801 |
|
77 |
74 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
324 |
225 |
$864.33 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
24 |
24 |
$860.86 |
| 71046 |
Radiologic examination, chest; 2 views |
229 |
216 |
$736.87 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
15 |
$474.19 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$407.43 |
| 73564 |
|
31 |
27 |
$344.10 |
| 72110 |
|
16 |
15 |
$218.71 |
| 73630 |
|
18 |
17 |
$151.01 |
| 73130 |
|
14 |
13 |
$113.24 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$91.62 |
| 73030 |
|
13 |
13 |
$89.94 |