| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
278 |
271 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
129 |
115 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
27 |
$1K |
| 76830 |
Ultrasound, transvaginal |
22 |
21 |
$762.10 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
32 |
$703.56 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
22 |
21 |
$665.11 |
| 93971 |
|
27 |
27 |
$329.26 |
| 71045 |
Radiologic examination, chest; single view |
53 |
42 |
$213.64 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$77.01 |