| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,977 |
2,559 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
984 |
959 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
132 |
131 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
97 |
97 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$967.28 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$290.40 |
| 74018 |
|
31 |
28 |
$235.77 |