| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
842 |
785 |
$57K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
491 |
469 |
$25K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
61 |
55 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
183 |
171 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
658 |
620 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
777 |
674 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$2K |
| 76377 |
|
33 |
31 |
$719.34 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$328.55 |
| 73630 |
|
19 |
14 |
$222.71 |
| 74018 |
|
27 |
26 |
$141.46 |
| 73562 |
|
12 |
12 |
$133.56 |
| 76376 |
|
14 |
12 |
$34.17 |