| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
72 |
49 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
1,431 |
973 |
$19K |
| 76376 |
|
333 |
144 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
200 |
63 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
111 |
43 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
34 |
21 |
$6K |
| 76830 |
Ultrasound, transvaginal |
79 |
24 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
469 |
298 |
$5K |
| 71250 |
|
23 |
13 |
$4K |
| 74018 |
|
253 |
177 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
21 |
14 |
$2K |
| 74021 |
|
92 |
56 |
$2K |
| 70260 |
|
24 |
12 |
$538.14 |
| 72100 |
|
16 |
12 |
$216.07 |