| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,759 |
1,744 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
526 |
524 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,070 |
1,782 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
132 |
132 |
$7K |
| 73630 |
|
359 |
348 |
$4K |
| 76536 |
|
113 |
113 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
39 |
39 |
$3K |
| 73610 |
|
99 |
95 |
$1K |
| 73130 |
|
107 |
105 |
$1K |
| 74018 |
|
131 |
126 |
$1K |
| 71250 |
|
13 |
13 |
$661.86 |
| 73030 |
|
55 |
53 |
$625.48 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$490.92 |
| 73110 |
|
28 |
26 |
$244.58 |
| 73502 |
|
13 |
13 |
$227.54 |
| 73560 |
|
12 |
12 |
$192.15 |