| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
741 |
702 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
685 |
648 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
634 |
622 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
2,129 |
1,828 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,100 |
1,025 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
136 |
135 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
41 |
40 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
71 |
70 |
$1K |
| 71250 |
|
29 |
28 |
$404.41 |
| 76536 |
|
13 |
12 |
$399.62 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$299.58 |
| 73630 |
|
12 |
12 |
$123.19 |
| 73130 |
|
12 |
12 |
$87.99 |
| 74018 |
|
13 |
13 |
$34.95 |