| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
713 |
688 |
$25K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
57 |
56 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
25 |
$1K |
| 71250 |
|
57 |
54 |
$1K |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$832.66 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
45 |
45 |
$795.96 |
| 77080 |
|
70 |
65 |
$614.31 |
| 71045 |
Radiologic examination, chest; single view |
101 |
96 |
$284.70 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$128.26 |
| 77092 |
|
25 |
25 |
$83.22 |