| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
971 |
953 |
$58K |
| 71045 |
Radiologic examination, chest; single view |
3,354 |
2,917 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
188 |
180 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
651 |
641 |
$5K |
| 71250 |
|
143 |
139 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
88 |
88 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
91 |
$2K |
| 73630 |
|
273 |
267 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
39 |
39 |
$1K |
| 73610 |
|
133 |
130 |
$1K |
| 74018 |
|
91 |
83 |
$508.26 |
| 76536 |
|
15 |
15 |
$343.80 |
| 73030 |
|
13 |
13 |
$83.16 |