| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,980 |
2,242 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
396 |
328 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
199 |
175 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,310 |
1,121 |
$12K |
| 71020 |
|
265 |
201 |
$3K |
| 71010 |
|
186 |
135 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
41 |
38 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
39 |
36 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$1K |
| 74018 |
|
129 |
81 |
$767.80 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
15 |
$717.51 |
| 73630 |
|
52 |
37 |
$555.85 |
| 73610 |
|
13 |
12 |
$167.31 |
| 72100 |
|
16 |
15 |
$134.28 |