| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
320 |
306 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
114 |
110 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
918 |
781 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
519 |
497 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
47 |
45 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
32 |
31 |
$541.55 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$360.84 |
| 76377 |
|
13 |
13 |
$267.63 |