| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
189 |
107 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
263 |
138 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
739 |
301 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
831 |
512 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
34 |
24 |
$2K |
| 99070 |
|
15 |
15 |
$375.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
15 |
$210.00 |
| 76641 |
|
12 |
12 |
$35.24 |