| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
801 |
791 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
3,796 |
3,146 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
672 |
663 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
89 |
86 |
$2K |
| 76770 |
|
144 |
140 |
$1K |
| 93970 |
|
105 |
94 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
55 |
54 |
$1K |
| 74018 |
|
278 |
226 |
$819.68 |
| 74178 |
|
13 |
12 |
$363.25 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
38 |
37 |
$284.20 |
| 74183 |
|
12 |
12 |
$235.50 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$226.19 |
| 93971 |
|
17 |
17 |
$136.51 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
50 |
44 |
$0.00 |