| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
954 |
868 |
$55K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
455 |
436 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,803 |
1,557 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
559 |
516 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
42 |
39 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
17 |
$266.50 |