| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,392 |
1,239 |
$104K |
| 71046 |
Radiologic examination, chest; 2 views |
1,308 |
1,193 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,468 |
1,196 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
105 |
88 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
151 |
140 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
120 |
83 |
$3K |
| 72131 |
|
21 |
13 |
$716.11 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
30 |
$624.66 |
| 73630 |
|
55 |
35 |
$602.20 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
13 |
$536.11 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$431.40 |
| 73610 |
|
15 |
12 |
$272.65 |
| 70486 |
|
13 |
12 |
$246.09 |
| 74018 |
|
45 |
41 |
$229.74 |
| 73130 |
|
15 |
12 |
$145.90 |