| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,717 |
1,296 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
144 |
112 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,326 |
1,118 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
45 |
37 |
$3K |
| 71020 |
|
173 |
134 |
$2K |
| 71010 |
|
147 |
91 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$689.00 |
| 74018 |
|
59 |
42 |
$438.73 |
| 73610 |
|
14 |
12 |
$150.00 |
| 72100 |
|
14 |
13 |
$149.20 |
| 73560 |
|
14 |
12 |
$138.12 |