| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
278 |
269 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
150 |
141 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
173 |
171 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
961 |
510 |
$5K |
| 76830 |
Ultrasound, transvaginal |
102 |
99 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
107 |
102 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
52 |
52 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
40 |
$2K |
| 74018 |
|
255 |
116 |
$949.11 |
| 71046 |
Radiologic examination, chest; 2 views |
135 |
89 |
$905.23 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
17 |
15 |
$600.02 |