| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
656 |
641 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
9,156 |
8,254 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
933 |
906 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
254 |
254 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
61 |
53 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
32 |
31 |
$1K |
| 76801 |
|
27 |
27 |
$917.34 |
| 73630 |
|
165 |
158 |
$779.62 |
| 93976 |
|
34 |
30 |
$763.52 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
36 |
$755.56 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
25 |
$599.76 |
| 73610 |
|
59 |
54 |
$348.84 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$296.27 |
| 74018 |
|
14 |
13 |
$84.40 |
| 73130 |
|
12 |
12 |
$75.27 |
| 73110 |
|
12 |
12 |
$66.95 |