| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
371 |
342 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
1,245 |
1,063 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
51 |
51 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
251 |
240 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$700.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
13 |
$411.22 |
| 73630 |
|
19 |
12 |
$270.57 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$127.92 |