| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
162 |
159 |
$3K |
| 76830 |
Ultrasound, transvaginal |
59 |
59 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
53 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
18 |
18 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$832.20 |
| 93976 |
|
33 |
33 |
$676.73 |
| 72100 |
|
55 |
55 |
$666.96 |
| 71046 |
Radiologic examination, chest; 2 views |
82 |
82 |
$618.51 |
| 73562 |
|
39 |
32 |
$512.79 |
| 71045 |
Radiologic examination, chest; single view |
75 |
66 |
$356.93 |
| 73030 |
|
16 |
15 |
$151.53 |
| 73110 |
|
14 |
12 |
$134.86 |
| 74018 |
|
16 |
16 |
$66.48 |