| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
183 |
171 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
71 |
68 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
549 |
456 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
62 |
60 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
273 |
254 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
36 |
32 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
33 |
$992.31 |
| 76830 |
Ultrasound, transvaginal |
21 |
18 |
$719.00 |
| 93976 |
|
24 |
24 |
$580.08 |
| 76801 |
|
17 |
16 |
$525.64 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$505.40 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
24 |
24 |
$496.52 |
| 73562 |
|
26 |
26 |
$311.64 |