| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
544 |
542 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
1,036 |
882 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
122 |
122 |
$6K |
| 71250 |
|
86 |
85 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
34 |
34 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
84 |
84 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
41 |
41 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
126 |
126 |
$1K |
| 76830 |
Ultrasound, transvaginal |
17 |
17 |
$528.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$429.00 |