| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
521 |
520 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
240 |
233 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,230 |
1,054 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
783 |
779 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
90 |
90 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
167 |
166 |
$4K |
| 71250 |
|
37 |
36 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
28 |
$1K |
| 76770 |
|
12 |
12 |
$370.07 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$310.14 |
| 73630 |
|
12 |
12 |
$93.93 |
| 74018 |
|
13 |
13 |
$77.15 |