| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
263 |
241 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
225 |
198 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
75 |
68 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,291 |
1,104 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
179 |
166 |
$1K |
| 71020 |
|
246 |
238 |
$729.31 |
| 71010 |
|
344 |
290 |
$663.80 |
| 73610 |
|
42 |
39 |
$531.17 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
13 |
$347.32 |
| 73110 |
|
14 |
14 |
$158.00 |
| 73130 |
|
12 |
12 |
$150.00 |
| 74000 |
|
12 |
12 |
$116.78 |
| 99053 |
|
13 |
13 |
$0.00 |