| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
955 |
883 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
625 |
577 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,296 |
1,184 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,694 |
1,407 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
75 |
73 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
25 |
$659.88 |
| 76801 |
|
13 |
13 |
$371.04 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$345.12 |
| 73610 |
|
13 |
13 |
$161.41 |
| 73630 |
|
14 |
12 |
$130.71 |