| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
14,521 |
9,999 |
$63K |
| 70450 |
Computed tomography, head or brain; without contrast material |
760 |
662 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,583 |
2,429 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
162 |
149 |
$7K |
| 74018 |
|
2,098 |
1,157 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
63 |
55 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
59 |
54 |
$915.10 |
| 76801 |
|
35 |
28 |
$787.69 |
| 74019 |
|
79 |
75 |
$666.72 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$346.06 |
| 99053 |
|
2,324 |
2,081 |
$0.00 |
| 76506 |
|
18 |
12 |
$0.00 |