| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
174 |
168 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
125 |
117 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,207 |
1,084 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
209 |
190 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
184 |
182 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$206.50 |
| 74018 |
|
14 |
14 |
$105.46 |
| 73630 |
|
16 |
12 |
$72.98 |