| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,267 |
1,155 |
$75K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
885 |
828 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
3,905 |
3,351 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,350 |
1,285 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
97 |
95 |
$2K |
| 93975 |
|
69 |
63 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$498.09 |
| 73610 |
|
15 |
14 |
$215.25 |
| 72100 |
|
13 |
12 |
$184.21 |
| 73564 |
|
15 |
14 |
$181.71 |
| 74018 |
|
13 |
12 |
$65.93 |