| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
834 |
745 |
$75K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,104 |
941 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
239 |
198 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
414 |
329 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,538 |
1,292 |
$13K |
| 99152 |
|
88 |
70 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$1K |
| 71250 |
|
18 |
13 |
$839.64 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$657.00 |
| 93971 |
|
15 |
15 |
$655.98 |
| 71046 |
Radiologic examination, chest; 2 views |
48 |
40 |
$464.17 |
| 76981 |
|
20 |
12 |
$5.20 |