| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
149 |
130 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
47 |
39 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
335 |
277 |
$2K |
| 76830 |
Ultrasound, transvaginal |
43 |
40 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
43 |
40 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
284 |
213 |
$1K |
| 73562 |
|
75 |
75 |
$925.36 |
| 73130 |
|
54 |
46 |
$641.55 |
| 73030 |
|
54 |
40 |
$549.19 |
| 73610 |
|
16 |
16 |
$203.23 |
| 73110 |
|
14 |
13 |
$193.37 |