| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
523 |
495 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
1,315 |
1,277 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
231 |
212 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
840 |
735 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
89 |
79 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
66 |
65 |
$1K |
| 76830 |
Ultrasound, transvaginal |
42 |
41 |
$824.93 |
| 73630 |
|
179 |
170 |
$752.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
38 |
37 |
$692.31 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$570.18 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
25 |
$382.58 |
| 72100 |
|
61 |
59 |
$321.69 |
| 73130 |
|
64 |
61 |
$281.82 |
| 73030 |
|
58 |
51 |
$275.99 |
| 73610 |
|
45 |
43 |
$187.58 |
| 73562 |
|
17 |
12 |
$76.41 |
| 73564 |
|
12 |
12 |
$73.04 |
| 74018 |
|
16 |
13 |
$64.68 |