| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
734 |
699 |
$42K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
953 |
911 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
2,073 |
1,885 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
175 |
170 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
738 |
692 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
90 |
89 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
15 |
$763.36 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$232.38 |
| 73610 |
|
13 |
12 |
$173.98 |
| 73560 |
|
14 |
13 |
$122.79 |