| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
407 |
404 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,512 |
1,477 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,223 |
1,044 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
217 |
214 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
51 |
51 |
$1K |
| 71271 |
|
15 |
15 |
$618.45 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
13 |
13 |
$472.34 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$316.38 |
| 72100 |
|
12 |
12 |
$148.22 |
| 73630 |
|
16 |
15 |
$142.94 |
| 73610 |
|
14 |
14 |
$115.51 |