| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
697 |
643 |
$28K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
438 |
400 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
186 |
183 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
98 |
82 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
431 |
346 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
85 |
77 |
$2K |
| 93976 |
|
52 |
38 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
184 |
156 |
$976.17 |
| 76770 |
|
30 |
24 |
$972.97 |
| 74183 |
|
13 |
13 |
$642.64 |