| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
241 |
224 |
$10K |
| 71250 |
|
198 |
189 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
137 |
129 |
$6K |
| 76830 |
Ultrasound, transvaginal |
48 |
46 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
48 |
45 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
189 |
174 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$741.83 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
28 |
$580.57 |
| 71045 |
Radiologic examination, chest; single view |
85 |
76 |
$366.11 |