| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
208 |
198 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
186 |
174 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,158 |
769 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
692 |
507 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
48 |
46 |
$4K |
| 74018 |
|
412 |
296 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
24 |
24 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
33 |
32 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$1K |
| 73630 |
|
100 |
93 |
$1K |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$1K |
| 73564 |
|
48 |
42 |
$761.53 |
| 73130 |
|
49 |
39 |
$753.30 |
| 73610 |
|
67 |
61 |
$610.67 |
| 73110 |
|
27 |
26 |
$362.97 |
| 73590 |
|
15 |
12 |
$109.57 |
| 99053 |
|
123 |
115 |
$0.00 |