| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
432 |
429 |
$12K |
| 93970 |
|
282 |
274 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
784 |
718 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
124 |
124 |
$2K |
| 76830 |
Ultrasound, transvaginal |
105 |
105 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
100 |
99 |
$2K |
| 93880 |
|
83 |
83 |
$1K |
| 93925 |
|
15 |
15 |
$492.65 |
| 93923 |
|
53 |
53 |
$327.64 |
| 72197 |
|
12 |
12 |
$276.09 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$254.09 |
| 71250 |
|
33 |
33 |
$226.81 |
| 93971 |
|
32 |
32 |
$176.80 |