| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
905 |
859 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
2,483 |
2,094 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
260 |
254 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,275 |
1,187 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
63 |
60 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
70 |
70 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
159 |
153 |
$3K |
| 76830 |
Ultrasound, transvaginal |
55 |
41 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
38 |
$1K |
| 73630 |
|
62 |
60 |
$636.80 |
| 73610 |
|
41 |
40 |
$551.36 |
| 74018 |
|
94 |
78 |
$450.52 |
| 76536 |
|
12 |
12 |
$408.00 |
| 71250 |
|
12 |
12 |
$298.39 |
| 73030 |
|
32 |
26 |
$222.09 |
| 93971 |
|
17 |
14 |
$189.31 |
| 73562 |
|
16 |
12 |
$128.84 |
| 99152 |
|
13 |
12 |
$52.43 |