| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
3,660 |
3,135 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
281 |
259 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,293 |
1,242 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
66 |
64 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
105 |
101 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
25 |
14 |
$982.59 |
| 76818 |
|
18 |
12 |
$622.58 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$356.52 |