| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
664 |
602 |
$30K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
259 |
231 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
351 |
294 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
216 |
199 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,675 |
1,059 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
56 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
266 |
217 |
$2K |
| 74018 |
|
94 |
50 |
$418.17 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
12 |
$169.49 |