| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74183 |
|
107 |
104 |
$18K |
| 72197 |
|
111 |
109 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
323 |
309 |
$15K |
| 76770 |
|
219 |
212 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
350 |
338 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,667 |
1,298 |
$7K |
| 93975 |
|
229 |
218 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
893 |
856 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
113 |
111 |
$4K |
| 76536 |
|
44 |
42 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$1K |
| 73610 |
|
68 |
67 |
$935.83 |
| 74018 |
|
191 |
159 |
$932.79 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
15 |
$823.50 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$762.78 |
| 73630 |
|
59 |
56 |
$630.24 |
| 73564 |
|
33 |
28 |
$365.08 |
| 73030 |
|
29 |
28 |
$291.21 |
| 73110 |
|
16 |
16 |
$178.88 |
| 76776 |
|
15 |
14 |
$137.76 |
| 73562 |
|
13 |
12 |
$128.81 |