| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
604 |
439 |
$120K |
| 71046 |
Radiologic examination, chest; 2 views |
6,120 |
4,308 |
$74K |
| 70450 |
Computed tomography, head or brain; without contrast material |
578 |
433 |
$60K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
596 |
445 |
$28K |
| 99205 |
Prolong outpt/office vis |
149 |
122 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
1,872 |
818 |
$16K |
| 74018 |
|
1,168 |
757 |
$13K |
| 76770 |
|
215 |
168 |
$9K |
| 99070 |
|
243 |
190 |
$6K |
| 93000 |
|
244 |
196 |
$5K |
| 74019 |
|
135 |
100 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
76 |
76 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
26 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
45 |
45 |
$600.00 |
| 70210 |
|
33 |
32 |
$291.76 |