| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,760 |
2,167 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
269 |
240 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
359 |
324 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
349 |
301 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
348 |
300 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
62 |
58 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
347 |
310 |
$3K |
| 73630 |
|
127 |
98 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$1K |
| 76642 |
|
49 |
29 |
$891.97 |
| 76830 |
Ultrasound, transvaginal |
17 |
12 |
$827.30 |
| 73110 |
|
50 |
39 |
$374.00 |
| 73610 |
|
17 |
13 |
$240.00 |
| 73030 |
|
12 |
12 |
$180.00 |
| 73560 |
|
17 |
13 |
$134.00 |
| 74018 |
|
14 |
12 |
$114.44 |