| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
56 |
56 |
$2K |
| 71250 |
|
30 |
30 |
$779.75 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
42 |
42 |
$753.20 |
| 71045 |
Radiologic examination, chest; single view |
204 |
162 |
$698.99 |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
29 |
$660.12 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$434.09 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$390.74 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$76.38 |
| 74018 |
|
27 |
26 |
$70.28 |