| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
339 |
310 |
$14K |
| 76830 |
Ultrasound, transvaginal |
141 |
132 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
122 |
117 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
181 |
176 |
$4K |
| 76536 |
|
119 |
98 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
104 |
98 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
511 |
427 |
$2K |
| 71250 |
|
63 |
55 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
37 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
219 |
211 |
$1K |
| 76376 |
|
198 |
178 |
$859.91 |
| 93971 |
|
12 |
12 |
$132.02 |