| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
761 |
710 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
303 |
281 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
1,389 |
1,311 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,643 |
1,385 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
37 |
37 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
128 |
123 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
16 |
$578.49 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$555.94 |
| 76830 |
Ultrasound, transvaginal |
16 |
14 |
$486.29 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$459.58 |
| 73630 |
|
12 |
12 |
$130.64 |