| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
205 |
205 |
$18K |
| 93975 |
|
238 |
228 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,360 |
1,321 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
907 |
630 |
$6K |
| 76830 |
Ultrasound, transvaginal |
175 |
171 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
180 |
170 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
61 |
57 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
116 |
112 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
145 |
134 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
104 |
101 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
78 |
73 |
$3K |
| 74018 |
|
406 |
212 |
$2K |
| 72100 |
|
56 |
55 |
$641.77 |
| 73630 |
|
47 |
38 |
$408.24 |
| 73564 |
|
29 |
26 |
$334.16 |