| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
361 |
345 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,728 |
2,826 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,642 |
1,557 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
621 |
551 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
118 |
113 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
73 |
70 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
40 |
$1K |
| 74018 |
|
230 |
194 |
$699.39 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$357.95 |
| 73610 |
|
16 |
12 |
$50.38 |
| 73630 |
|
14 |
12 |
$45.11 |
| 73030 |
|
13 |
12 |
$38.40 |