| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
407 |
390 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
260 |
251 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
81 |
78 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,077 |
1,033 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,396 |
1,232 |
$6K |
| 99152 |
|
274 |
244 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
87 |
82 |
$1K |
| 93970 |
|
41 |
39 |
$681.79 |
| 76937 |
|
94 |
83 |
$628.56 |
| 77001 |
|
44 |
40 |
$390.74 |
| 73130 |
|
14 |
13 |
$139.02 |