| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
237 |
231 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
204 |
202 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
351 |
340 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,223 |
771 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
689 |
466 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 74018 |
|
124 |
80 |
$747.51 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
25 |
$720.68 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$459.94 |
| 73610 |
|
21 |
19 |
$191.78 |
| 73630 |
|
22 |
20 |
$175.20 |
| 74022 |
|
12 |
12 |
$164.02 |