| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
65 |
54 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
52 |
52 |
$980.72 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$825.70 |
| 71046 |
Radiologic examination, chest; 2 views |
85 |
83 |
$753.54 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
16 |
$688.22 |
| 76937 |
|
30 |
26 |
$141.89 |
| 93971 |
|
14 |
13 |
$86.16 |
| 74018 |
|
14 |
14 |
$84.48 |