| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
487 |
481 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
52 |
$527.22 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$184.04 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
32 |
$170.03 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
15 |
15 |
$0.00 |