| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
926 |
858 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
616 |
578 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
3,239 |
2,862 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,093 |
1,034 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
64 |
63 |
$2K |
| 76830 |
Ultrasound, transvaginal |
30 |
24 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
27 |
$766.48 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
43 |
38 |
$699.28 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$529.90 |
| 73030 |
|
25 |
24 |
$268.33 |
| 73630 |
|
29 |
28 |
$265.77 |