| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,163 |
1,061 |
$49K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
489 |
423 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
214 |
198 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
32 |
29 |
$3K |
| 74183 |
|
26 |
26 |
$3K |
| 93976 |
|
120 |
105 |
$3K |
| 74018 |
|
635 |
547 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
131 |
130 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
348 |
309 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
341 |
274 |
$2K |
| 71250 |
|
43 |
37 |
$1K |
| 76770 |
|
29 |
28 |
$722.66 |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$575.20 |
| 76775 |
|
24 |
24 |
$551.60 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$539.25 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$337.84 |