| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,103 |
1,027 |
$39K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
403 |
384 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
358 |
345 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,664 |
1,395 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
506 |
473 |
$2K |
| 71250 |
|
39 |
38 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
16 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
37 |
36 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$430.16 |
| 76376 |
|
130 |
128 |
$418.96 |
| 76536 |
|
16 |
13 |
$414.55 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$221.00 |