| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
162 |
159 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
348 |
319 |
$3K |
| 93975 |
|
26 |
25 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$796.12 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$387.86 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$345.10 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
25 |
$231.68 |