| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,206 |
2,068 |
$108K |
| 76830 |
Ultrasound, transvaginal |
1,281 |
1,199 |
$42K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
842 |
789 |
$28K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
268 |
251 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
776 |
734 |
$27K |
| 93975 |
|
869 |
770 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
788 |
759 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,309 |
1,261 |
$23K |
| 93970 |
|
1,132 |
1,049 |
$16K |
| 76770 |
|
469 |
463 |
$13K |
| 93971 |
|
1,394 |
1,263 |
$13K |
| 76857 |
|
272 |
264 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
2,333 |
1,995 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
213 |
193 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
146 |
140 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
748 |
686 |
$3K |
| 74018 |
|
817 |
695 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
131 |
123 |
$2K |
| 74183 |
|
12 |
12 |
$2K |
| 71250 |
|
28 |
25 |
$795.62 |
| 76536 |
|
26 |
26 |
$643.71 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
110 |
110 |
$431.55 |