| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
255 |
239 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
936 |
623 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
508 |
397 |
$4K |
| 70544 |
|
15 |
12 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$722.74 |
| 73630 |
|
56 |
41 |
$478.46 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$389.18 |
| 74018 |
|
34 |
25 |
$233.47 |
| 93971 |
|
13 |
13 |
$218.68 |