| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,974 |
1,953 |
$133K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
859 |
850 |
$51K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
369 |
367 |
$30K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
160 |
156 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
65 |
65 |
$2K |
| 71250 |
|
46 |
45 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
182 |
178 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
33 |
33 |
$285.26 |