| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
434 |
394 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
130 |
119 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
51 |
48 |
$4K |
| 76830 |
Ultrasound, transvaginal |
100 |
88 |
$3K |
| 93975 |
|
98 |
86 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
93 |
83 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
86 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
41 |
39 |
$2K |
| 74183 |
|
13 |
13 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
59 |
55 |
$2K |
| 93970 |
|
78 |
71 |
$1K |
| 93971 |
|
71 |
67 |
$669.23 |
| 76536 |
|
13 |
13 |
$369.81 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$241.16 |
| 74018 |
|
35 |
33 |
$152.39 |