| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
160 |
156 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
336 |
246 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
27 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
25 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
319 |
245 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$734.83 |