| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
664 |
646 |
$32K |
| 76830 |
Ultrasound, transvaginal |
106 |
84 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
45 |
44 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
343 |
333 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
40 |
40 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$2K |
| 73564 |
|
110 |
81 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
17 |
$1K |
| 76857 |
|
26 |
26 |
$898.75 |
| 73030 |
|
80 |
73 |
$815.09 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
19 |
$693.35 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
26 |
$511.68 |
| 73630 |
|
46 |
39 |
$469.88 |
| 73130 |
|
38 |
34 |
$377.22 |
| 73610 |
|
16 |
14 |
$303.33 |
| 71045 |
Radiologic examination, chest; single view |
66 |
59 |
$296.08 |
| 76770 |
|
14 |
12 |
$228.36 |