| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
107 |
98 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
81 |
80 |
$4K |
| 76830 |
Ultrasound, transvaginal |
84 |
84 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
100 |
98 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
16 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
189 |
187 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
238 |
232 |
$1K |
| 76857 |
|
35 |
35 |
$950.16 |
| 76770 |
|
21 |
21 |
$641.93 |
| 93976 |
|
31 |
30 |
$581.81 |
| 76536 |
|
17 |
17 |
$515.38 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
19 |
$501.16 |
| 76870 |
|
14 |
14 |
$336.71 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$246.53 |
| 74018 |
|
38 |
35 |
$188.36 |