| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
308 |
287 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
171 |
157 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,151 |
836 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
195 |
193 |
$4K |
| 76770 |
|
105 |
105 |
$4K |
| 71250 |
|
107 |
103 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
85 |
84 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
546 |
520 |
$3K |
| 93975 |
|
87 |
84 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
25 |
$2K |
| 76536 |
|
61 |
57 |
$2K |
| 74018 |
|
384 |
318 |
$2K |
| 71271 |
|
30 |
28 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
33 |
31 |
$1K |
| 73630 |
|
115 |
90 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$503.30 |
| 73610 |
|
36 |
35 |
$473.73 |
| 72082 |
|
45 |
40 |
$436.60 |
| 73130 |
|
35 |
29 |
$304.07 |
| 73502 |
|
32 |
31 |
$228.48 |
| 73030 |
|
17 |
17 |
$153.34 |