| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,249 |
1,235 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
616 |
501 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
27 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
87 |
84 |
$2K |
| 72100 |
|
73 |
73 |
$805.06 |
| 74018 |
|
76 |
73 |
$600.95 |
| 73630 |
|
43 |
40 |
$393.33 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$334.08 |
| 73130 |
|
18 |
15 |
$122.04 |
| 73610 |
|
12 |
12 |
$120.80 |