| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,089 |
1,076 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
1,610 |
1,598 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,183 |
1,937 |
$13K |
| 76536 |
|
457 |
455 |
$10K |
| 73630 |
|
544 |
525 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
48 |
48 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
56 |
56 |
$3K |
| 73610 |
|
90 |
86 |
$1K |
| 73030 |
|
100 |
96 |
$1K |
| 73560 |
|
86 |
82 |
$1K |
| 71271 |
|
26 |
26 |
$732.32 |
| 76775 |
|
27 |
27 |
$552.08 |
| 93971 |
|
28 |
28 |
$495.99 |
| 73130 |
|
48 |
48 |
$469.99 |
| 74018 |
|
54 |
53 |
$426.44 |
| 93970 |
|
12 |
12 |
$347.52 |
| 73502 |
|
13 |
13 |
$245.35 |