| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
88 |
84 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
727 |
514 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
107 |
103 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
130 |
123 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
27 |
$664.91 |
| 93975 |
|
13 |
12 |
$631.39 |
| 74018 |
|
57 |
40 |
$363.30 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$325.35 |
| 73610 |
|
13 |
13 |
$99.94 |