| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,247 |
1,139 |
$83K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
479 |
430 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,676 |
2,393 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,053 |
1,004 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
43 |
39 |
$2K |
| 93975 |
|
44 |
24 |
$1K |
| 76830 |
Ultrasound, transvaginal |
42 |
38 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$1K |
| 73610 |
|
34 |
30 |
$450.49 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$276.09 |
| 74018 |
|
52 |
49 |
$239.53 |
| 73110 |
|
16 |
12 |
$210.90 |
| 73630 |
|
13 |
12 |
$130.73 |