| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
801 |
733 |
$35K |
| 76830 |
Ultrasound, transvaginal |
366 |
338 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
340 |
324 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
346 |
319 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
94 |
84 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
411 |
401 |
$8K |
| 93975 |
|
228 |
215 |
$7K |
| 93970 |
|
324 |
292 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
103 |
$3K |
| 93971 |
|
308 |
293 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
55 |
42 |
$2K |
| 76770 |
|
86 |
82 |
$2K |
| 74183 |
|
13 |
13 |
$2K |
| 72197 |
|
12 |
12 |
$2K |
| 76536 |
|
53 |
53 |
$2K |
| 74018 |
|
179 |
166 |
$762.55 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
36 |
34 |
$748.98 |
| 71046 |
Radiologic examination, chest; 2 views |
56 |
56 |
$374.87 |