| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
975 |
940 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
873 |
688 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
262 |
243 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
35 |
35 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
39 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
27 |
$972.94 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$495.12 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$473.58 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$389.87 |
| 93971 |
|
19 |
14 |
$231.40 |