| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
133 |
133 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
204 |
200 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,039 |
734 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
430 |
308 |
$3K |
| 93975 |
|
45 |
44 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
55 |
55 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
53 |
50 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$765.13 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
25 |
$615.75 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$402.81 |
| 74018 |
|
69 |
46 |
$356.46 |