| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
955 |
882 |
$42K |
| 76830 |
Ultrasound, transvaginal |
531 |
511 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
488 |
458 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
139 |
134 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,461 |
1,258 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,888 |
1,618 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
195 |
190 |
$7K |
| 99152 |
|
883 |
716 |
$5K |
| 71250 |
|
156 |
143 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
88 |
76 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
149 |
146 |
$3K |
| 76536 |
|
58 |
58 |
$2K |
| 76937 |
|
137 |
95 |
$821.21 |
| 93975 |
|
26 |
25 |
$721.46 |
| 77001 |
|
70 |
52 |
$569.15 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
16 |
$452.03 |
| 93976 |
|
15 |
15 |
$359.10 |
| 93970 |
|
25 |
24 |
$319.89 |
| 74018 |
|
17 |
14 |
$66.41 |