| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
241 |
226 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
615 |
552 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
3,071 |
2,349 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,287 |
1,218 |
$7K |
| 99152 |
|
217 |
168 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
29 |
27 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
25 |
$700.28 |
| 76937 |
|
189 |
144 |
$548.49 |
| 99153 |
Mod sedat endo service >5yrs |
217 |
167 |
$327.59 |
| 74018 |
|
27 |
25 |
$89.72 |
| 77001 |
|
45 |
31 |
$76.91 |