| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
802 |
618 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
52 |
52 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
738 |
567 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
55 |
54 |
$5K |
| 72110 |
|
84 |
84 |
$4K |
| 73564 |
|
102 |
75 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
34 |
34 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
47 |
46 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| 76770 |
|
14 |
14 |
$1K |
| 93970 |
|
19 |
19 |
$1K |
| 74018 |
|
84 |
67 |
$1K |
| 73630 |
|
57 |
43 |
$1K |
| 73130 |
|
29 |
25 |
$412.70 |
| 73030 |
|
13 |
13 |
$229.40 |
| 99053 |
|
128 |
116 |
$0.00 |