| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
244 |
196 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
644 |
535 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,178 |
599 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
92 |
89 |
$430.22 |
| 74018 |
|
48 |
44 |
$211.73 |
| 73560 |
|
13 |
12 |
$49.47 |
| 73610 |
|
14 |
12 |
$7.10 |
| 73030 |
|
44 |
43 |
$0.52 |
| 72100 |
|
25 |
24 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
15 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
53 |
52 |
$0.00 |
| 73630 |
|
12 |
12 |
$0.00 |