| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
158 |
155 |
$7K |
| 76830 |
Ultrasound, transvaginal |
155 |
153 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
182 |
180 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
121 |
119 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
578 |
492 |
$3K |
| 77080 |
|
129 |
127 |
$904.35 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
21 |
21 |
$859.18 |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
114 |
$657.29 |
| 93971 |
|
13 |
12 |
$131.54 |