| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,012 |
1,010 |
$35K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
402 |
402 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,224 |
932 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
170 |
168 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
79 |
79 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$395.69 |
| 71046 |
Radiologic examination, chest; 2 views |
65 |
64 |
$375.83 |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
26 |
$268.17 |
| 74018 |
|
24 |
20 |
$46.38 |