| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
333 |
312 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,609 |
1,497 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
380 |
344 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
72 |
68 |
$3K |
| 76830 |
Ultrasound, transvaginal |
122 |
109 |
$2K |
| 76801 |
|
47 |
41 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
100 |
89 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
388 |
312 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
97 |
71 |
$578.42 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
25 |
$344.71 |
| 73130 |
|
26 |
26 |
$159.12 |
| 73030 |
|
12 |
12 |
$96.73 |
| 73610 |
|
12 |
12 |
$77.78 |
| 73630 |
|
15 |
15 |
$66.60 |
| 74018 |
|
13 |
12 |
$46.06 |