| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,044 |
959 |
$47K |
| 70450 |
Computed tomography, head or brain; without contrast material |
206 |
199 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
153 |
151 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,236 |
1,059 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
708 |
673 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
67 |
66 |
$1K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$867.06 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
12 |
$836.66 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
27 |
$767.95 |
| 73030 |
|
40 |
38 |
$305.13 |