| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
490 |
465 |
$19K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
124 |
111 |
$14K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$453.17 |
| 73030 |
|
36 |
33 |
$313.75 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$263.26 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$255.23 |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
38 |
$150.18 |