| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
223 |
197 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
194 |
185 |
$8K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
54 |
45 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
497 |
464 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
31 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
126 |
124 |
$776.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$455.71 |
| 74018 |
|
100 |
94 |
$426.02 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$413.87 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$239.35 |