| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
941 |
936 |
$27K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
340 |
334 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
591 |
581 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
106 |
106 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
427 |
371 |
$2K |
| 74018 |
|
281 |
242 |
$895.10 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
18 |
18 |
$635.70 |
| 76770 |
|
12 |
12 |
$342.22 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$251.71 |
| 73630 |
|
14 |
13 |
$12.38 |