| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
232 |
231 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
77 |
66 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
55 |
55 |
$944.48 |
| 93975 |
|
15 |
14 |
$710.24 |
| 74018 |
|
247 |
183 |
$561.55 |
| 76770 |
|
65 |
57 |
$515.96 |
| 71045 |
Radiologic examination, chest; single view |
158 |
155 |
$421.65 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$154.21 |
| 76536 |
|
22 |
14 |
$75.53 |