| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
471 |
461 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
47 |
46 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
207 |
138 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
31 |
30 |
$2K |
| 93976 |
|
23 |
22 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
25 |
25 |
$903.23 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
29 |
$806.90 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$564.17 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$461.72 |
| 74018 |
|
32 |
20 |
$372.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184 |
152 |
$211.48 |
| 77072 |
|
14 |
14 |
$88.56 |