| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
197 |
180 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
666 |
625 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
659 |
597 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
31 |
28 |
$1K |
| 73110 |
|
88 |
81 |
$1K |
| 74018 |
|
210 |
191 |
$1K |
| 73130 |
|
104 |
98 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
42 |
$823.96 |
| 73610 |
|
92 |
88 |
$745.44 |
| 73562 |
|
61 |
55 |
$467.02 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$466.95 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
24 |
$449.33 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$404.32 |
| 73630 |
|
40 |
38 |
$318.13 |
| 73140 |
|
13 |
12 |
$47.62 |