| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93880 |
|
108 |
108 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
260 |
259 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
784 |
695 |
$3K |
| 93975 |
|
80 |
79 |
$2K |
| 76536 |
|
78 |
78 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
191 |
190 |
$1K |
| 93925 |
|
12 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
39 |
$926.33 |
| 70450 |
Computed tomography, head or brain; without contrast material |
71 |
71 |
$758.91 |
| 76881 |
|
412 |
212 |
$629.06 |
| 76770 |
|
48 |
48 |
$233.05 |
| 71047 |
|
13 |
13 |
$104.95 |
| 73630 |
|
26 |
26 |
$95.27 |