| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,920 |
2,027 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
593 |
560 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
93 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
637 |
612 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
52 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
50 |
43 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
59 |
57 |
$1K |
| 74018 |
|
53 |
47 |
$206.34 |
| 73630 |
|
30 |
29 |
$165.82 |
| 73610 |
|
34 |
32 |
$161.99 |
| 73030 |
|
15 |
14 |
$86.56 |