| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,236 |
1,092 |
$78K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
807 |
763 |
$35K |
| 71045 |
Radiologic examination, chest; single view |
3,090 |
2,442 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
102 |
99 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,647 |
1,565 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
131 |
125 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
50 |
50 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$276.09 |
| 73630 |
|
26 |
26 |
$272.22 |