| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
419 |
411 |
$30K |
| 70450 |
Computed tomography, head or brain; without contrast material |
341 |
330 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
800 |
771 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
497 |
434 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
29 |
28 |
$2K |
| 76830 |
Ultrasound, transvaginal |
29 |
28 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
27 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$658.36 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$316.78 |
| 73030 |
|
12 |
12 |
$136.34 |
| 73110 |
|
13 |
12 |
$78.88 |
| 73610 |
|
13 |
13 |
$76.52 |
| 73630 |
|
13 |
13 |
$76.42 |
| 73130 |
|
12 |
12 |
$75.46 |