| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
172 |
169 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
280 |
267 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,522 |
966 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
91 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
514 |
377 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$1K |
| 74018 |
|
50 |
24 |
$399.91 |
| 99053 |
|
171 |
128 |
$0.00 |