| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
182 |
179 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
208 |
198 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
271 |
268 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
416 |
402 |
$1K |
| 76770 |
|
13 |
13 |
$210.07 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
13 |
$171.45 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$150.76 |