| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
66 |
65 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
27 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
24 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
51 |
49 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
145 |
142 |
$907.48 |
| 71045 |
Radiologic examination, chest; single view |
222 |
161 |
$814.60 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
28 |
$474.48 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$436.69 |
| 76642 |
|
13 |
12 |
$203.50 |
| 74022 |
|
17 |
17 |
$166.77 |
| 73630 |
|
26 |
25 |
$125.68 |
| 73564 |
|
18 |
15 |
$116.60 |
| 74018 |
|
22 |
14 |
$110.70 |
| 73030 |
|
15 |
14 |
$83.20 |
| 74019 |
|
12 |
12 |
$79.34 |
| 73610 |
|
14 |
14 |
$73.30 |