| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,125 |
2,443 |
$297K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,654 |
1,168 |
$113K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,940 |
2,210 |
$107K |
| 71045 |
Radiologic examination, chest; single view |
13,032 |
7,627 |
$102K |
| 71046 |
Radiologic examination, chest; 2 views |
8,999 |
6,949 |
$91K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,490 |
1,905 |
$87K |
| 72197 |
|
188 |
118 |
$24K |
| 71250 |
|
454 |
308 |
$21K |
| 76770 |
|
417 |
293 |
$14K |
| 76830 |
Ultrasound, transvaginal |
329 |
202 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
315 |
237 |
$10K |
| 76377 |
|
230 |
137 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
145 |
80 |
$7K |
| 93975 |
|
42 |
38 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
21 |
13 |
$2K |
| 72100 |
|
122 |
72 |
$2K |
| 73560 |
|
143 |
72 |
$2K |
| 93971 |
|
31 |
18 |
$1K |
| 74018 |
|
111 |
55 |
$1K |
| 73120 |
|
29 |
12 |
$321.90 |
| 73620 |
|
21 |
12 |
$241.46 |