| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,228 |
1,150 |
$81K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
295 |
291 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
4,395 |
3,788 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
427 |
410 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
188 |
178 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,341 |
1,267 |
$8K |
| 74018 |
|
789 |
690 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
156 |
152 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
38 |
37 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$737.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
16 |
$573.40 |
| 72110 |
|
13 |
13 |
$213.46 |
| 73630 |
|
16 |
12 |
$143.10 |