| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
187 |
186 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
170 |
166 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,266 |
679 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
261 |
185 |
$2K |
| 74018 |
|
360 |
158 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$1K |
| 93975 |
|
12 |
12 |
$906.68 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$417.71 |