| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,541 |
1,432 |
$68K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,018 |
934 |
$42K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
431 |
401 |
$15K |
| 74183 |
|
75 |
75 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,229 |
1,616 |
$9K |
| 71250 |
|
120 |
116 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
626 |
572 |
$3K |
| 93976 |
|
111 |
101 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
61 |
56 |
$1K |
| 74018 |
|
215 |
188 |
$939.39 |