| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,379 |
1,371 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
2,902 |
2,689 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
848 |
833 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
57 |
56 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
39 |
39 |
$721.83 |
| 93970 |
|
12 |
12 |
$177.16 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
17 |
$110.81 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
47 |
43 |
$0.00 |