| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
590 |
556 |
$23K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
447 |
430 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
225 |
215 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
34 |
31 |
$4K |
| 78306 |
|
57 |
51 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
924 |
742 |
$4K |
| 76830 |
Ultrasound, transvaginal |
82 |
77 |
$3K |
| 76857 |
|
67 |
64 |
$2K |
| 74018 |
|
397 |
303 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
349 |
330 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
81 |
77 |
$1K |
| 93975 |
|
48 |
37 |
$1K |
| 93971 |
|
126 |
116 |
$1K |
| 93970 |
|
66 |
62 |
$912.09 |
| 76770 |
|
28 |
28 |
$862.99 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
30 |
$835.27 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$493.25 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
26 |
$401.47 |
| 78454 |
|
51 |
51 |
$301.04 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
30 |
30 |
$134.94 |