| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
341 |
318 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
190 |
171 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
123 |
115 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
318 |
289 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
196 |
185 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
13 |
$825.82 |
| 71250 |
|
12 |
12 |
$422.13 |
| 99152 |
|
59 |
54 |
$387.41 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$234.52 |
| 73564 |
|
16 |
14 |
$171.22 |