| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
331 |
327 |
$30K |
| 93975 |
|
274 |
265 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
297 |
286 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
82 |
81 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
156 |
155 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,154 |
653 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
153 |
148 |
$6K |
| 76830 |
Ultrasound, transvaginal |
105 |
105 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
130 |
121 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
304 |
192 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
19 |
19 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
38 |
34 |
$2K |
| 93976 |
|
15 |
14 |
$662.03 |
| 74018 |
|
225 |
61 |
$626.37 |
| 93971 |
|
25 |
25 |
$455.23 |
| 73130 |
|
17 |
15 |
$198.29 |