| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
648 |
591 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
487 |
462 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,581 |
2,053 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,430 |
1,319 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
58 |
55 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
66 |
65 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
12 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$601.42 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
12 |
$567.57 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$392.42 |
| 93975 |
|
12 |
12 |
$377.85 |
| 73610 |
|
13 |
12 |
$159.10 |
| 73630 |
|
14 |
13 |
$120.84 |