| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
200 |
172 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
178 |
152 |
$2K |
| 76801 |
|
171 |
166 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
49 |
39 |
$927.14 |
| 70450 |
Computed tomography, head or brain; without contrast material |
39 |
28 |
$426.77 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
51 |
$231.22 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
18 |
16 |
$230.07 |
| 76770 |
|
15 |
13 |
$183.60 |
| 71045 |
Radiologic examination, chest; single view |
127 |
79 |
$162.58 |