| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
221 |
201 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
109 |
101 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
87 |
80 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
43 |
42 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
630 |
603 |
$3K |
| 73630 |
|
190 |
172 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
190 |
184 |
$1K |
| 73562 |
|
45 |
37 |
$509.73 |
| 73610 |
|
26 |
25 |
$354.64 |
| 72100 |
|
25 |
25 |
$298.79 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$254.10 |
| 73030 |
|
14 |
13 |
$130.81 |
| 74018 |
|
13 |
12 |
$40.89 |