| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
459 |
454 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
156 |
153 |
$743.75 |
| 71045 |
Radiologic examination, chest; single view |
166 |
157 |
$541.70 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$264.36 |
| 74018 |
|
38 |
35 |
$105.54 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
42 |
42 |
$0.00 |