| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,232 |
1,127 |
$75K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
600 |
579 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
3,800 |
3,187 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,823 |
1,733 |
$10K |
| 93975 |
|
67 |
65 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
91 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
14 |
$1K |
| 73630 |
|
62 |
49 |
$765.57 |
| 73564 |
|
60 |
53 |
$668.21 |
| 73030 |
|
27 |
25 |
$272.10 |
| 72100 |
|
12 |
12 |
$136.05 |
| 74018 |
|
26 |
24 |
$108.44 |