| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,325 |
1,271 |
$57K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
590 |
588 |
$28K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
129 |
124 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
948 |
918 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,057 |
865 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
71 |
68 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
41 |
41 |
$2K |
| 76830 |
Ultrasound, transvaginal |
25 |
17 |
$845.87 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
17 |
$591.17 |
| 74018 |
|
118 |
102 |
$504.84 |
| 78306 |
|
13 |
12 |
$496.68 |
| 78226 |
|
20 |
20 |
$469.57 |
| 76770 |
|
13 |
13 |
$333.48 |
| 78227 |
|
12 |
12 |
$321.31 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$276.09 |
| 93976 |
|
16 |
13 |
$248.64 |