| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
9,646 |
5,428 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
548 |
391 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,642 |
1,135 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
155 |
130 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
766 |
613 |
$2K |
| 76376 |
|
216 |
157 |
$293.21 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$148.37 |