| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
363 |
331 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
341 |
304 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,404 |
1,153 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
74 |
63 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
420 |
347 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
21 |
$1K |
| 71010 |
|
150 |
135 |
$546.24 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
18 |
13 |
$539.70 |
| 71020 |
|
66 |
65 |
$126.43 |
| 74018 |
|
13 |
12 |
$90.42 |