| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,909 |
1,820 |
$77K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,136 |
1,067 |
$66K |
| 71045 |
Radiologic examination, chest; single view |
8,168 |
6,388 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
4,153 |
3,732 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
102 |
99 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
231 |
223 |
$8K |
| 72100 |
|
428 |
408 |
$5K |
| 73630 |
|
352 |
310 |
$4K |
| 73030 |
|
270 |
240 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
151 |
141 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
55 |
51 |
$2K |
| 73610 |
|
112 |
96 |
$2K |
| 73562 |
|
153 |
141 |
$1K |
| 76770 |
|
26 |
18 |
$638.54 |
| 73130 |
|
56 |
48 |
$538.21 |
| 74019 |
|
79 |
74 |
$388.84 |
| 93976 |
|
17 |
13 |
$324.58 |
| 71250 |
|
12 |
12 |
$267.80 |
| 74018 |
|
28 |
28 |
$131.28 |
| 73110 |
|
13 |
12 |
$105.24 |
| 73502 |
|
15 |
12 |
$67.92 |