| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,469 |
2,334 |
$106K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,070 |
1,025 |
$39K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
362 |
338 |
$34K |
| 76830 |
Ultrasound, transvaginal |
884 |
818 |
$29K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
674 |
624 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
804 |
744 |
$28K |
| 93975 |
|
608 |
554 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
906 |
872 |
$16K |
| 93970 |
|
836 |
779 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
457 |
439 |
$13K |
| 93971 |
|
873 |
812 |
$9K |
| 76770 |
|
270 |
265 |
$8K |
| 74183 |
|
43 |
43 |
$6K |
| 74018 |
|
1,122 |
999 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
141 |
137 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
168 |
154 |
$4K |
| 71250 |
|
56 |
56 |
$2K |
| 76536 |
|
55 |
50 |
$1K |
| 74174 |
|
26 |
26 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
267 |
244 |
$1K |
| 73562 |
|
81 |
74 |
$815.37 |
| 74178 |
|
20 |
20 |
$671.05 |
| 73030 |
|
52 |
47 |
$510.14 |
| 73130 |
|
16 |
16 |
$178.13 |
| 73630 |
|
12 |
12 |
$132.47 |
| 73502 |
|
27 |
27 |
$131.07 |