| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
970 |
919 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
940 |
912 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
2,834 |
2,489 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
904 |
877 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
78 |
78 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
75 |
74 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$304.42 |
| 73560 |
|
27 |
26 |
$259.86 |
| 73610 |
|
12 |
12 |
$159.73 |
| 73630 |
|
13 |
13 |
$156.06 |