| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
451 |
446 |
$16K |
| 71250 |
|
288 |
288 |
$15K |
| 74183 |
|
59 |
59 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,431 |
1,293 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
498 |
463 |
$4K |
| 76536 |
|
91 |
91 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
80 |
80 |
$3K |
| 74178 |
|
38 |
38 |
$2K |
| 73562 |
|
85 |
78 |
$1K |
| 72110 |
|
32 |
32 |
$563.15 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$285.11 |
| 93970 |
|
27 |
26 |
$248.40 |
| 76775 |
|
13 |
13 |
$146.45 |
| 74018 |
|
25 |
25 |
$74.66 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
111 |
111 |
$34.56 |