| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
473 |
452 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
166 |
158 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
297 |
287 |
$5K |
| 76830 |
Ultrasound, transvaginal |
151 |
146 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,163 |
953 |
$5K |
| 93975 |
|
121 |
105 |
$3K |
| 93970 |
|
182 |
170 |
$2K |
| 74018 |
|
582 |
468 |
$2K |
| 93971 |
|
248 |
231 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
66 |
63 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
374 |
331 |
$2K |
| 76770 |
|
65 |
65 |
$2K |
| 76857 |
|
61 |
59 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
56 |
56 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
26 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
30 |
30 |
$592.27 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
17 |
$485.64 |