| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
378 |
373 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
287 |
286 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
2,634 |
1,351 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
272 |
266 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
313 |
306 |
$10K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
100 |
100 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
149 |
148 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
783 |
547 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
136 |
133 |
$5K |
| 76830 |
Ultrasound, transvaginal |
120 |
119 |
$4K |
| 74018 |
|
656 |
289 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
87 |
81 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
14 |
$2K |
| 93976 |
|
38 |
37 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
17 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$379.74 |
| 73130 |
|
17 |
15 |
$190.07 |
| 73630 |
|
16 |
13 |
$113.84 |