| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,055 |
1,010 |
$72K |
| 70450 |
Computed tomography, head or brain; without contrast material |
817 |
783 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
253 |
240 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
838 |
715 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
531 |
513 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
77 |
73 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
152 |
141 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
24 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
38 |
38 |
$669.24 |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$459.38 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
16 |
$375.78 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$237.16 |