| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,709 |
1,082 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
146 |
143 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
284 |
263 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
69 |
69 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
56 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
129 |
126 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
117 |
116 |
$2K |
| 76830 |
Ultrasound, transvaginal |
101 |
100 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
160 |
157 |
$1K |
| 93976 |
|
75 |
74 |
$655.00 |
| 73630 |
|
80 |
66 |
$517.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$485.46 |
| 74018 |
|
49 |
43 |
$434.90 |
| 73562 |
|
28 |
26 |
$185.85 |
| 99053 |
|
310 |
232 |
$0.00 |