| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
513 |
491 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
314 |
298 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,900 |
1,604 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
922 |
873 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
30 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$213.20 |