| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
984 |
865 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
932 |
859 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
121 |
119 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
38 |
38 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
70 |
68 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$737.01 |
| 76376 |
|
37 |
32 |
$300.63 |
| 74018 |
|
25 |
25 |
$190.32 |