| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
383 |
334 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
2,156 |
1,888 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,491 |
1,253 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
105 |
92 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
28 |
$854.12 |
| 73562 |
|
25 |
25 |
$290.42 |
| 73630 |
|
13 |
12 |
$136.53 |
| 73030 |
|
12 |
12 |
$123.94 |
| 74018 |
|
12 |
12 |
$66.48 |