| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
412 |
373 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
488 |
419 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
902 |
646 |
$3K |
| 70496 |
|
15 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
197 |
192 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
35 |
25 |
$810.51 |
| 70498 |
|
15 |
13 |
$673.12 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$481.06 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$227.28 |