| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
292 |
265 |
$16K |
| 76830 |
Ultrasound, transvaginal |
249 |
204 |
$9K |
| 93976 |
|
362 |
309 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
66 |
61 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
250 |
205 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
792 |
534 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
81 |
73 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
43 |
41 |
$2K |
| 71250 |
|
40 |
39 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
189 |
168 |
$1K |