| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
822 |
816 |
$19K |
| 76536 |
|
622 |
620 |
$15K |
| 76830 |
Ultrasound, transvaginal |
383 |
383 |
$12K |
| 76770 |
|
418 |
416 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
423 |
297 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
24 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$754.56 |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
16 |
$513.76 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$402.65 |