| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
327 |
314 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
185 |
183 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,103 |
1,031 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
255 |
221 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$688.22 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
25 |
$569.19 |
| 73610 |
|
36 |
33 |
$518.30 |
| 73110 |
|
17 |
15 |
$179.41 |
| 73630 |
|
16 |
13 |
$172.00 |
| 73562 |
|
13 |
13 |
$143.48 |