| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
604 |
513 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
92 |
64 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
623 |
484 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
281 |
248 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
42 |
42 |
$2K |
| 73564 |
|
100 |
59 |
$991.74 |
| 73630 |
|
149 |
107 |
$982.65 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$507.00 |
| 73030 |
|
42 |
34 |
$430.24 |
| 72110 |
|
28 |
28 |
$395.91 |
| 73130 |
|
44 |
38 |
$352.00 |
| 73610 |
|
18 |
15 |
$142.26 |