| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
80 |
48 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
73 |
72 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
705 |
515 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
73 |
68 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
28 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
249 |
157 |
$2K |
| 76801 |
|
19 |
18 |
$861.39 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$555.95 |
| 74018 |
|
50 |
32 |
$289.23 |
| 99053 |
|
78 |
72 |
$0.00 |