| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
985 |
953 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
482 |
445 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
233 |
219 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,030 |
949 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
24 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
350 |
342 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
54 |
52 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
19 |
14 |
$733.28 |
| 93975 |
|
16 |
15 |
$489.86 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$212.13 |