| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
850 |
780 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
330 |
286 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,332 |
2,031 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,070 |
1,017 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
37 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
55 |
52 |
$1K |
| 93975 |
|
33 |
29 |
$840.16 |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$683.03 |
| 73610 |
|
28 |
20 |
$510.44 |
| 73564 |
|
18 |
12 |
$196.72 |
| 74018 |
|
41 |
38 |
$193.54 |
| 73030 |
|
16 |
15 |
$150.32 |