| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
361 |
342 |
$25K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
104 |
104 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
157 |
151 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
157 |
120 |
$951.34 |
| 76536 |
|
40 |
40 |
$826.24 |
| 71271 |
|
20 |
20 |
$793.99 |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
27 |
$776.45 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$481.71 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$312.20 |
| 76376 |
|
31 |
31 |
$223.70 |