| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
206 |
200 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
225 |
221 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
176 |
171 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,306 |
747 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
177 |
166 |
$5K |
| 76830 |
Ultrasound, transvaginal |
153 |
149 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
100 |
97 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
447 |
276 |
$3K |
| 93975 |
|
41 |
38 |
$3K |
| 74018 |
|
358 |
175 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$1K |
| 93976 |
|
22 |
22 |
$943.08 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
18 |
16 |
$426.93 |