| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
171 |
168 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
107 |
104 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
331 |
324 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
200 |
188 |
$846.39 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
16 |
$471.68 |
| 73564 |
|
14 |
14 |
$212.22 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$210.94 |
| 74018 |
|
13 |
13 |
$60.94 |