| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,654 |
1,494 |
$75K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,034 |
928 |
$40K |
| 93976 |
|
631 |
573 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
359 |
339 |
$14K |
| 76830 |
Ultrasound, transvaginal |
258 |
228 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
237 |
211 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
317 |
303 |
$6K |
| 76536 |
|
141 |
125 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
590 |
570 |
$3K |
| 72197 |
|
14 |
14 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
604 |
515 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
109 |
100 |
$2K |
| 76770 |
|
66 |
66 |
$2K |
| 71250 |
|
55 |
54 |
$2K |
| 74183 |
|
12 |
12 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$353.76 |
| 74018 |
|
14 |
14 |
$72.02 |