| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
399 |
380 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
1,438 |
1,311 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
289 |
284 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
537 |
523 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
87 |
85 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
82 |
76 |
$2K |
| 74018 |
|
179 |
166 |
$1K |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$479.40 |
| 73030 |
|
14 |
13 |
$107.38 |
| 73610 |
|
13 |
13 |
$85.20 |
| 73564 |
|
12 |
12 |
$84.87 |