| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
524 |
464 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,052 |
808 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
468 |
432 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
935 |
849 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
114 |
105 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
28 |
$2K |
| 72100 |
|
51 |
44 |
$314.00 |
| 73610 |
|
40 |
39 |
$135.27 |
| 73562 |
|
29 |
25 |
$115.82 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$93.79 |
| 73110 |
|
14 |
13 |
$40.58 |
| 73630 |
|
12 |
12 |
$37.21 |