| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
504 |
452 |
$24K |
| 76830 |
Ultrasound, transvaginal |
250 |
218 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
226 |
196 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
62 |
61 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
170 |
155 |
$7K |
| 74183 |
|
26 |
25 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
179 |
170 |
$3K |
| 93975 |
|
99 |
96 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
85 |
81 |
$2K |
| 93970 |
|
138 |
124 |
$2K |
| 72197 |
|
13 |
12 |
$2K |
| 93971 |
|
151 |
137 |
$2K |
| 76770 |
|
38 |
37 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
21 |
14 |
$916.27 |
| 74018 |
|
110 |
82 |
$533.32 |
| 76536 |
|
13 |
12 |
$429.03 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$391.88 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$295.34 |