| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
396 |
377 |
$18K |
| 72197 |
|
27 |
24 |
$5K |
| 73564 |
|
317 |
237 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
28 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
82 |
76 |
$4K |
| 76830 |
Ultrasound, transvaginal |
70 |
65 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
578 |
550 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
619 |
452 |
$3K |
| 73030 |
|
222 |
190 |
$2K |
| 74018 |
|
530 |
419 |
$2K |
| 73630 |
|
147 |
111 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
69 |
69 |
$2K |
| 76770 |
|
37 |
37 |
$1K |
| 73610 |
|
72 |
55 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
32 |
32 |
$990.56 |
| 73130 |
|
75 |
58 |
$827.10 |
| 76536 |
|
18 |
18 |
$784.32 |
| 73502 |
|
95 |
77 |
$761.07 |
| 93976 |
|
46 |
42 |
$642.84 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$463.47 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$454.86 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$375.70 |
| 74019 |
|
24 |
24 |
$159.16 |