| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,085 |
989 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
145 |
139 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
91 |
89 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
167 |
160 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
17 |
$922.19 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$267.81 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$192.01 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$173.99 |
| 74018 |
|
14 |
13 |
$83.28 |