| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
768 |
722 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
560 |
545 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
147 |
136 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,090 |
1,009 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
75 |
68 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
212 |
194 |
$1K |
| 70496 |
|
15 |
13 |
$1K |
| 70498 |
|
14 |
12 |
$1K |
| 74018 |
|
158 |
138 |
$858.45 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
29 |
$617.21 |
| 73630 |
|
34 |
31 |
$347.48 |
| 73610 |
|
18 |
16 |
$260.11 |
| 73140 |
|
14 |
14 |
$141.91 |
| 73130 |
|
13 |
12 |
$111.04 |