| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,706 |
1,593 |
$105K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,480 |
1,416 |
$65K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
135 |
133 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,181 |
1,980 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
202 |
195 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
552 |
528 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
90 |
88 |
$2K |
| 73030 |
|
100 |
98 |
$1K |
| 72110 |
|
53 |
52 |
$778.21 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$401.47 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$365.50 |
| 72100 |
|
12 |
12 |
$121.72 |
| 93971 |
|
16 |
16 |
$112.05 |