| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,494 |
1,597 |
$14K |
| 93975 |
|
139 |
134 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
199 |
194 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
121 |
118 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
558 |
365 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
93 |
90 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
32 |
32 |
$3K |
| 74018 |
|
541 |
322 |
$3K |
| 76770 |
|
55 |
54 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
26 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
12 |
$1K |
| 93971 |
|
60 |
57 |
$1K |
| 93970 |
|
12 |
12 |
$360.52 |