| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
4,179 |
3,775 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
169 |
168 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
132 |
132 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
63 |
63 |
$1K |
| 71250 |
|
44 |
44 |
$518.46 |
| 71046 |
Radiologic examination, chest; 2 views |
75 |
75 |
$366.59 |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
26 |
$129.35 |