| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76770 |
|
231 |
229 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
93 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
80 |
77 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
854 |
601 |
$6K |
| 74018 |
|
544 |
368 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
132 |
122 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
483 |
366 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
29 |
29 |
$3K |
| 76536 |
|
12 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
26 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$904.61 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$713.42 |
| 73630 |
|
33 |
32 |
$538.68 |
| 76506 |
|
13 |
12 |
$368.19 |
| 99053 |
|
73 |
72 |
$0.00 |