| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,204 |
1,112 |
$51K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
761 |
686 |
$29K |
| 74183 |
|
76 |
71 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
344 |
319 |
$12K |
| 93976 |
|
346 |
319 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
197 |
184 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
703 |
572 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
71 |
67 |
$2K |
| 76830 |
Ultrasound, transvaginal |
71 |
67 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
330 |
323 |
$2K |
| 76770 |
|
54 |
53 |
$2K |
| 72197 |
|
12 |
12 |
$1K |
| 74230 |
|
31 |
27 |
$828.91 |
| 76536 |
|
17 |
15 |
$515.94 |
| 74018 |
|
12 |
12 |
$56.88 |