| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,189 |
1,110 |
$69K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
607 |
587 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
3,633 |
3,177 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,701 |
1,616 |
$10K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
70 |
61 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
27 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
45 |
41 |
$886.98 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$445.15 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$348.96 |
| 73564 |
|
12 |
12 |
$176.74 |
| 74018 |
|
32 |
27 |
$167.80 |
| 73630 |
|
15 |
14 |
$132.83 |