| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
718 |
701 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
2,274 |
1,926 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
29 |
28 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
53 |
53 |
$716.95 |
| 71046 |
Radiologic examination, chest; 2 views |
105 |
103 |
$676.21 |
| 70450 |
Computed tomography, head or brain; without contrast material |
50 |
47 |
$675.19 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$447.54 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$243.61 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$185.40 |
| 73630 |
|
42 |
39 |
$145.08 |