| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,471 |
1,450 |
$45K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
379 |
376 |
$10K |
| 93970 |
|
168 |
168 |
$2K |
| 76770 |
|
223 |
222 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
82 |
80 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
98 |
97 |
$944.40 |
| 71046 |
Radiologic examination, chest; 2 views |
108 |
108 |
$364.27 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$90.65 |
| 93971 |
|
12 |
12 |
$86.34 |