| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,528 |
1,513 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,241 |
988 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
300 |
287 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
41 |
$2K |
| 74241 |
|
39 |
39 |
$637.47 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$365.93 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97 |
92 |
$0.00 |