| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
369 |
363 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
248 |
235 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
339 |
332 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
40 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
664 |
624 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
66 |
65 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
115 |
114 |
$2K |
| 71250 |
|
81 |
80 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
247 |
246 |
$1K |
| 73630 |
|
70 |
66 |
$682.51 |
| 76536 |
|
12 |
12 |
$340.00 |
| 73030 |
|
36 |
34 |
$300.97 |
| 73610 |
|
16 |
16 |
$188.25 |
| 73562 |
|
15 |
15 |
$148.33 |
| 74018 |
|
21 |
21 |
$95.89 |