| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
675 |
608 |
$61K |
| 71045 |
Radiologic examination, chest; single view |
5,177 |
3,975 |
$46K |
| 70450 |
Computed tomography, head or brain; without contrast material |
609 |
542 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
129 |
124 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,007 |
860 |
$9K |
| 73630 |
|
636 |
530 |
$8K |
| 73610 |
|
550 |
477 |
$7K |
| 73130 |
|
310 |
271 |
$4K |
| 73110 |
|
395 |
288 |
$3K |
| 73560 |
|
312 |
235 |
$2K |
| 73030 |
|
194 |
153 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$1K |
| 72100 |
|
95 |
86 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$954.00 |
| 74018 |
|
110 |
91 |
$924.16 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$737.30 |
| 73090 |
|
29 |
25 |
$276.00 |
| 73140 |
|
19 |
13 |
$93.30 |