| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
818 |
723 |
$46K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
761 |
692 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
2,029 |
1,776 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,792 |
1,189 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
54 |
31 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
13 |
$1K |
| 73630 |
|
112 |
89 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
26 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$373.88 |
| 73610 |
|
17 |
15 |
$261.96 |
| 73110 |
|
24 |
24 |
$258.82 |
| 72100 |
|
13 |
13 |
$183.41 |
| 74018 |
|
12 |
12 |
$54.70 |