| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
237 |
234 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
124 |
122 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
216 |
209 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,542 |
832 |
$8K |
| 93975 |
|
64 |
62 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
326 |
248 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
67 |
63 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
20 |
20 |
$2K |
| 74018 |
|
276 |
147 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
24 |
$858.97 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
20 |
20 |
$763.69 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$636.29 |
| 76830 |
Ultrasound, transvaginal |
17 |
17 |
$582.80 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
22 |
18 |
$505.93 |