| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
556 |
520 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
296 |
280 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
184 |
171 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,196 |
1,142 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,642 |
1,461 |
$7K |
| 73130 |
|
202 |
169 |
$2K |
| 73610 |
|
221 |
197 |
$2K |
| 74018 |
|
315 |
297 |
$2K |
| 73630 |
|
200 |
179 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
63 |
56 |
$1K |
| 73110 |
|
103 |
96 |
$918.43 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$326.45 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
15 |
$277.16 |
| 73562 |
|
31 |
25 |
$275.99 |
| 71250 |
|
13 |
12 |
$219.45 |
| 73080 |
|
16 |
16 |
$132.50 |