| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,198 |
1,122 |
$43K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
649 |
617 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
2,673 |
2,034 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
211 |
193 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
329 |
317 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
994 |
890 |
$5K |
| 71250 |
|
177 |
162 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
33 |
33 |
$2K |
| 76830 |
Ultrasound, transvaginal |
40 |
39 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$465.55 |
| 76536 |
|
12 |
12 |
$369.53 |
| 74230 |
|
14 |
14 |
$289.73 |
| 74018 |
|
13 |
12 |
$38.78 |