| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,751 |
2,193 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
253 |
250 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
447 |
442 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
180 |
176 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
416 |
415 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
49 |
49 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
102 |
102 |
$3K |
| 74018 |
|
129 |
111 |
$1K |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$778.33 |
| 93971 |
|
12 |
12 |
$229.62 |
| 73610 |
|
15 |
14 |
$148.87 |
| 73630 |
|
16 |
15 |
$118.85 |
| 73030 |
|
13 |
12 |
$100.61 |
| 99053 |
|
593 |
522 |
$0.00 |