| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
252 |
250 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
270 |
261 |
$11K |
| 93975 |
|
105 |
101 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,232 |
864 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
131 |
129 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
107 |
100 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
458 |
331 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
28 |
$1K |
| 74018 |
|
234 |
163 |
$1K |
| 76830 |
Ultrasound, transvaginal |
29 |
27 |
$865.20 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
28 |
$852.64 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$531.01 |
| 74019 |
|
12 |
12 |
$138.75 |