| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
330 |
325 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
216 |
214 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
191 |
186 |
$7K |
| 93978 |
|
65 |
65 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
614 |
595 |
$3K |
| 76770 |
|
37 |
34 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
868 |
759 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
79 |
78 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
39 |
38 |
$1K |
| 73562 |
|
55 |
39 |
$626.30 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$203.77 |
| 73630 |
|
17 |
14 |
$186.39 |
| 73610 |
|
12 |
12 |
$157.85 |
| 93971 |
|
12 |
12 |
$107.70 |
| 99152 |
|
13 |
12 |
$82.59 |
| 74018 |
|
14 |
14 |
$54.70 |