| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
731 |
725 |
$45K |
| 70450 |
Computed tomography, head or brain; without contrast material |
468 |
461 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
224 |
223 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,740 |
1,670 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,202 |
1,194 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
25 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
38 |
$2K |
| 71250 |
|
30 |
30 |
$1K |
| 76536 |
|
25 |
25 |
$584.44 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$499.99 |
| 73630 |
|
59 |
57 |
$432.38 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$330.00 |
| 74018 |
|
14 |
14 |
$70.56 |