| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
593 |
559 |
$38K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
311 |
280 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,210 |
1,856 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
198 |
183 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
185 |
167 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
828 |
764 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
92 |
82 |
$4K |
| 76830 |
Ultrasound, transvaginal |
86 |
77 |
$3K |
| 73562 |
|
176 |
124 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
68 |
67 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
26 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$483.38 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$469.04 |
| 76775 |
|
12 |
12 |
$219.10 |
| 74018 |
|
22 |
16 |
$82.05 |