| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,087 |
977 |
$61K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
650 |
632 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,185 |
1,865 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
175 |
161 |
$5K |
| 76830 |
Ultrasound, transvaginal |
106 |
99 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
599 |
584 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
62 |
62 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
68 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
28 |
$936.12 |
| 76376 |
|
108 |
107 |
$562.39 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$378.54 |