| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
938 |
892 |
$60K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
516 |
498 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
2,533 |
2,083 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,542 |
1,466 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
43 |
41 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
93 |
87 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
53 |
36 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
32 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
31 |
30 |
$808.96 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
28 |
$488.22 |
| 74018 |
|
70 |
67 |
$277.44 |
| 73610 |
|
14 |
12 |
$215.25 |
| 73130 |
|
13 |
13 |
$112.09 |