| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
547 |
530 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
1,235 |
974 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
74 |
69 |
$5K |
| 71250 |
|
141 |
134 |
$3K |
| 76830 |
Ultrasound, transvaginal |
59 |
57 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
261 |
260 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
67 |
67 |
$1K |
| 74018 |
|
212 |
169 |
$988.56 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
16 |
$717.68 |
| 73030 |
|
41 |
39 |
$332.71 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$183.02 |