| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,271 |
1,223 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,186 |
1,004 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
67 |
60 |
$3K |
| 73564 |
|
148 |
129 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
59 |
59 |
$2K |
| 73030 |
|
167 |
143 |
$2K |
| 73630 |
|
110 |
98 |
$1K |
| 93970 |
|
82 |
80 |
$1K |
| 73560 |
|
115 |
99 |
$959.08 |
| 73130 |
|
80 |
78 |
$865.55 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
40 |
$739.81 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$413.45 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$395.48 |
| 73110 |
|
28 |
24 |
$310.15 |
| 73502 |
|
27 |
27 |
$176.24 |
| 73610 |
|
13 |
12 |
$173.17 |
| 72100 |
|
12 |
12 |
$154.45 |
| 76937 |
|
18 |
13 |
$119.30 |