| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
521 |
494 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
36 |
36 |
$4K |
| 74183 |
|
13 |
12 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
54 |
54 |
$2K |
| 74018 |
|
377 |
302 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
45 |
40 |
$638.53 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
25 |
$567.84 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$43.76 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
48 |
41 |
$0.00 |