| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,809 |
1,124 |
$346K |
| 70450 |
Computed tomography, head or brain; without contrast material |
854 |
525 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
5,943 |
3,754 |
$82K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
376 |
230 |
$70K |
| 71045 |
Radiologic examination, chest; single view |
4,486 |
2,508 |
$47K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
191 |
110 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
40 |
13 |
$2K |
| 99156 |
|
14 |
13 |
$2K |
| 72100 |
|
22 |
12 |
$435.12 |
| 70210 |
|
25 |
13 |
$314.53 |
| 73560 |
|
12 |
12 |
$230.88 |