| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
8,491 |
4,174 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
488 |
279 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
3,031 |
1,901 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
562 |
325 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
44 |
$1K |
| 76376 |
|
1,093 |
588 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
12 |
$431.52 |
| 93976 |
|
42 |
13 |
$392.68 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
25 |
$229.07 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
83 |
24 |
$119.69 |