| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
131 |
115 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
212 |
206 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
119 |
98 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
504 |
476 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
61 |
53 |
$3K |
| 76830 |
Ultrasound, transvaginal |
40 |
35 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
285 |
181 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
28 |
$959.89 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
41 |
41 |
$767.52 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
15 |
$539.25 |
| 73630 |
|
31 |
27 |
$344.00 |
| 73562 |
|
18 |
13 |
$181.80 |