| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,978 |
1,833 |
$139K |
| 74183 |
|
349 |
340 |
$58K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
809 |
754 |
$50K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
784 |
703 |
$42K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
287 |
266 |
$30K |
| 71250 |
|
740 |
674 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
3,932 |
2,842 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,940 |
2,696 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
592 |
561 |
$16K |
| 76770 |
|
335 |
322 |
$13K |
| 93975 |
|
201 |
179 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
59 |
51 |
$7K |
| 76536 |
|
104 |
97 |
$4K |
| 73630 |
|
200 |
158 |
$3K |
| 73030 |
|
159 |
113 |
$2K |
| 74018 |
|
216 |
183 |
$837.45 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
17 |
$593.18 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$443.38 |
| 73562 |
|
28 |
26 |
$259.79 |
| 73610 |
|
13 |
12 |
$228.53 |
| 73502 |
|
28 |
26 |
$136.02 |