| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
269 |
266 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
364 |
348 |
$14K |
| 93975 |
|
199 |
194 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,371 |
979 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
171 |
169 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
585 |
445 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
55 |
54 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
45 |
44 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
71 |
69 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
62 |
56 |
$2K |
| 76830 |
Ultrasound, transvaginal |
66 |
63 |
$2K |
| 74018 |
|
304 |
203 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
39 |
39 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 70486 |
|
13 |
13 |
$688.63 |
| 73630 |
|
26 |
22 |
$194.44 |
| 72100 |
|
16 |
15 |
$155.87 |