| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
616 |
608 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
1,745 |
1,269 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
296 |
287 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,224 |
1,209 |
$11K |
| 73630 |
|
696 |
692 |
$6K |
| 73130 |
|
384 |
378 |
$4K |
| 72110 |
|
237 |
235 |
$3K |
| 74018 |
|
416 |
361 |
$3K |
| 73610 |
|
321 |
317 |
$3K |
| 73564 |
|
247 |
243 |
$3K |
| 72100 |
|
239 |
236 |
$2K |
| 73030 |
|
203 |
203 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
16 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
41 |
40 |
$1K |
| 73502 |
|
107 |
105 |
$898.23 |
| 72040 |
|
70 |
70 |
$735.34 |
| 73110 |
|
42 |
39 |
$358.45 |
| 72050 |
|
24 |
24 |
$238.33 |
| 73590 |
|
20 |
19 |
$190.95 |