| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,458 |
1,360 |
$91K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,276 |
1,220 |
$62K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
418 |
408 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
4,017 |
3,628 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
184 |
176 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
221 |
209 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
777 |
703 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
108 |
105 |
$2K |
| 74018 |
|
427 |
378 |
$2K |
| 73610 |
|
132 |
124 |
$2K |
| 73630 |
|
164 |
148 |
$2K |
| 73560 |
|
137 |
123 |
$1K |
| 73130 |
|
83 |
74 |
$824.97 |
| 73030 |
|
53 |
52 |
$531.48 |
| 73110 |
|
45 |
44 |
$498.75 |
| 73090 |
|
13 |
13 |
$113.65 |