| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
540 |
492 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
282 |
269 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,954 |
1,609 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
210 |
207 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
735 |
716 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
13 |
$618.35 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$247.66 |
| 73562 |
|
16 |
15 |
$133.89 |
| 73630 |
|
12 |
12 |
$83.74 |
| 74018 |
|
16 |
16 |
$83.10 |