| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
781 |
759 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
53 |
51 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
338 |
304 |
$1K |
| 71250 |
|
40 |
39 |
$921.63 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
12 |
$658.60 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$280.37 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$69.54 |