| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
486 |
475 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
204 |
201 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
1,656 |
1,543 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
20 |
20 |
$385.53 |
| 76830 |
Ultrasound, transvaginal |
18 |
18 |
$346.26 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$327.38 |
| 99053 |
|
414 |
404 |
$0.00 |