| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
46 |
45 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
54 |
52 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
209 |
205 |
$1K |
| 76830 |
Ultrasound, transvaginal |
29 |
25 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
25 |
$683.64 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
26 |
$665.19 |
| 71045 |
Radiologic examination, chest; single view |
145 |
131 |
$593.62 |