| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
203 |
203 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
217 |
211 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
341 |
329 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,052 |
717 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
583 |
417 |
$5K |
| 76801 |
|
39 |
37 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
40 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
28 |
$816.05 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$771.26 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$429.00 |
| 74018 |
|
54 |
37 |
$326.60 |
| 74022 |
|
15 |
15 |
$246.00 |
| 93971 |
|
13 |
13 |
$238.56 |
| 73630 |
|
13 |
12 |
$105.12 |
| 73610 |
|
12 |
12 |
$100.44 |