| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,540 |
1,411 |
$152K |
| 71045 |
Radiologic examination, chest; single view |
16,951 |
9,050 |
$73K |
| 71250 |
|
1,762 |
1,624 |
$49K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
931 |
872 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
705 |
672 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
5,309 |
4,922 |
$29K |
| 70450 |
Computed tomography, head or brain; without contrast material |
201 |
168 |
$14K |
| 71271 |
|
185 |
185 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
25 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
12 |
$421.51 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
12 |
$355.15 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$234.52 |
| 74018 |
|
43 |
40 |
$154.07 |