| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
290 |
276 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
377 |
372 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
886 |
822 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
882 |
765 |
$3K |
| 76642 |
|
71 |
51 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$977.30 |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$445.48 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$432.56 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$329.32 |
| 73610 |
|
18 |
12 |
$274.43 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$244.40 |
| 73564 |
|
19 |
13 |
$216.88 |
| 73030 |
|
12 |
12 |
$112.31 |