| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
814 |
809 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
368 |
366 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,398 |
1,338 |
$6K |
| 93970 |
|
218 |
217 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
234 |
233 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
47 |
46 |
$496.07 |
| 93971 |
|
49 |
48 |
$487.72 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$481.36 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
41 |
40 |
$455.52 |
| 71250 |
|
24 |
24 |
$390.30 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$179.44 |