| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
815 |
783 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
8,106 |
6,332 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,472 |
3,232 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
139 |
131 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
205 |
192 |
$9K |
| 73610 |
|
518 |
480 |
$8K |
| 74018 |
|
1,746 |
1,453 |
$7K |
| 73630 |
|
450 |
394 |
$5K |
| 73562 |
|
465 |
424 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
232 |
227 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
100 |
98 |
$4K |
| 73030 |
|
227 |
192 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
37 |
36 |
$1K |
| 73590 |
|
116 |
82 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
31 |
$884.40 |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$869.87 |
| 73130 |
|
76 |
64 |
$729.93 |
| 73110 |
|
55 |
51 |
$564.30 |
| 73502 |
|
56 |
51 |
$426.74 |
| 73090 |
|
46 |
39 |
$380.25 |
| 73560 |
|
16 |
16 |
$138.73 |
| 72170 |
|
16 |
15 |
$107.43 |