| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,740 |
3,288 |
$69K |
| 71045 |
Radiologic examination, chest; single view |
12,910 |
10,443 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
6,561 |
6,218 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
168 |
148 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
27 |
$478.66 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
26 |
$429.30 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$424.76 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$377.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
27 |
$370.85 |
| 74018 |
|
12 |
12 |
$38.76 |