| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
242 |
242 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
1,159 |
1,037 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
625 |
622 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
127 |
125 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
46 |
46 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
95 |
95 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
24 |
24 |
$1K |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$650.31 |