| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
535 |
474 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
385 |
338 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
134 |
125 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,142 |
1,046 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,294 |
1,117 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
68 |
67 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
87 |
77 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
39 |
39 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
41 |
41 |
$706.42 |
| 73630 |
|
27 |
27 |
$271.48 |
| 74018 |
|
49 |
43 |
$252.81 |