| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
279 |
272 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
2,271 |
1,869 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
310 |
293 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
232 |
232 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
743 |
715 |
$7K |
| 73562 |
|
388 |
346 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
27 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
73 |
73 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
59 |
58 |
$2K |
| 73630 |
|
132 |
119 |
$986.90 |
| 76830 |
Ultrasound, transvaginal |
32 |
30 |
$926.25 |
| 73030 |
|
64 |
57 |
$510.92 |
| 76801 |
|
12 |
12 |
$383.77 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$365.98 |
| 73130 |
|
52 |
44 |
$302.65 |
| 74018 |
|
35 |
31 |
$252.22 |
| 73110 |
|
37 |
29 |
$244.35 |
| 72100 |
|
14 |
14 |
$178.49 |
| 73610 |
|
13 |
12 |
$128.35 |