| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
890 |
882 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
141 |
140 |
$5K |
| 76536 |
|
175 |
175 |
$4K |
| 76830 |
Ultrasound, transvaginal |
86 |
86 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
30 |
$873.72 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$660.36 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$285.43 |
| 76857 |
|
20 |
20 |
$271.70 |
| 76770 |
|
13 |
13 |
$262.80 |
| 71045 |
Radiologic examination, chest; single view |
13 |
12 |
$61.82 |