| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
186 |
168 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
652 |
569 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
727 |
574 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
15 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
27 |
$979.95 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$585.80 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$391.21 |