| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
366 |
364 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
2,120 |
2,100 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
796 |
793 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
2,675 |
2,156 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
201 |
201 |
$12K |
| 76536 |
|
194 |
194 |
$4K |
| 73630 |
|
358 |
340 |
$4K |
| 71250 |
|
68 |
68 |
$3K |
| 74018 |
|
365 |
347 |
$3K |
| 73610 |
|
70 |
68 |
$939.27 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$852.67 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$648.73 |
| 73030 |
|
26 |
25 |
$258.05 |
| 73560 |
|
13 |
13 |
$134.72 |