| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
491 |
476 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
317 |
314 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
765 |
683 |
$2K |
| 93975 |
|
13 |
13 |
$844.18 |
| 73030 |
|
30 |
28 |
$185.74 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$131.93 |
| 93971 |
|
12 |
12 |
$113.98 |
| 73562 |
|
16 |
15 |
$82.94 |
| 73630 |
|
33 |
30 |
$52.54 |
| 73620 |
|
16 |
14 |
$17.90 |