| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
269 |
255 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
882 |
853 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
113 |
110 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
653 |
557 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
45 |
37 |
$1K |
| 73630 |
|
112 |
97 |
$1K |
| 73610 |
|
60 |
43 |
$874.77 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
26 |
$404.01 |
| 76770 |
|
12 |
12 |
$333.48 |
| 73130 |
|
31 |
16 |
$283.89 |
| 74018 |
|
14 |
14 |
$77.00 |