| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
292 |
228 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
3,031 |
2,044 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
289 |
214 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
735 |
549 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
72 |
50 |
$4K |
| 73630 |
|
140 |
126 |
$2K |
| 73030 |
|
167 |
123 |
$1K |
| 73130 |
|
91 |
76 |
$1K |
| 74018 |
|
177 |
125 |
$971.98 |
| 73610 |
|
78 |
67 |
$921.24 |
| 73110 |
|
126 |
80 |
$865.20 |
| 73560 |
|
92 |
61 |
$607.08 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
64 |
32 |
$212.00 |
| 72100 |
|
15 |
12 |
$129.58 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
29 |
$116.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
12 |
$76.00 |