| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,115 |
1,029 |
$72K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
520 |
484 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
2,837 |
2,505 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
965 |
883 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
65 |
64 |
$4K |
| 93975 |
|
101 |
80 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
18 |
15 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
26 |
$573.50 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$519.50 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
12 |
$466.64 |
| 73610 |
|
27 |
26 |
$366.13 |
| 73630 |
|
13 |
12 |
$132.48 |
| 73030 |
|
12 |
12 |
$123.97 |
| 74018 |
|
29 |
28 |
$121.88 |