| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,448 |
1,441 |
$48K |
| 70450 |
Computed tomography, head or brain; without contrast material |
628 |
619 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
305 |
303 |
$6K |
| 71250 |
|
56 |
56 |
$610.90 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
40 |
40 |
$609.99 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
13 |
$379.60 |
| 71045 |
Radiologic examination, chest; single view |
58 |
57 |
$189.13 |