| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,649 |
1,580 |
$63K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
428 |
400 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
428 |
409 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
70 |
69 |
$6K |
| 71250 |
|
197 |
184 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
230 |
223 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,066 |
967 |
$4K |
| 76830 |
Ultrasound, transvaginal |
82 |
76 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
429 |
418 |
$2K |
| 76536 |
|
69 |
66 |
$2K |
| 76770 |
|
42 |
41 |
$967.53 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
19 |
14 |
$552.17 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
21 |
14 |
$451.52 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$353.76 |
| 74018 |
|
13 |
12 |
$51.89 |