| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
742 |
711 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
110 |
107 |
$3K |
| 74018 |
|
640 |
542 |
$3K |
| 74183 |
|
12 |
12 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
32 |
$639.60 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$615.77 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
35 |
33 |
$0.00 |