| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
205 |
196 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
151 |
148 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$2K |
| 93976 |
|
31 |
29 |
$552.16 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
14 |
$459.06 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$413.59 |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
48 |
$308.28 |