| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
143 |
137 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
263 |
253 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,626 |
1,061 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
96 |
92 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
608 |
492 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
44 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$2K |
| 76770 |
|
16 |
16 |
$534.57 |
| 74018 |
|
110 |
66 |
$457.27 |
| 72100 |
|
15 |
14 |
$223.48 |
| 99053 |
|
97 |
78 |
$0.00 |