| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
418 |
380 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
1,897 |
1,730 |
$11K |
| 76830 |
Ultrasound, transvaginal |
119 |
118 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
896 |
799 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
110 |
105 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
34 |
25 |
$742.69 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$529.40 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
17 |
$482.68 |
| 73562 |
|
49 |
36 |
$473.49 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$370.20 |
| 73030 |
|
13 |
12 |
$134.99 |
| 74018 |
|
12 |
12 |
$69.79 |