| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
545 |
541 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
39 |
$1K |
| 74183 |
|
12 |
12 |
$1K |
| 76770 |
|
25 |
24 |
$188.97 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$139.71 |
| 71045 |
Radiologic examination, chest; single view |
17 |
16 |
$61.58 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
12 |
12 |
$0.00 |