| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,542 |
1,915 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
1,862 |
1,550 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
166 |
140 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
92 |
79 |
$8K |
| 71020 |
|
213 |
155 |
$2K |
| 74018 |
|
254 |
173 |
$2K |
| 71010 |
|
83 |
60 |
$857.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$637.60 |
| 72100 |
|
68 |
39 |
$459.76 |
| 73630 |
|
26 |
24 |
$343.30 |
| 73610 |
|
15 |
14 |
$240.00 |
| 73562 |
|
17 |
12 |
$180.00 |