| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
221 |
177 |
$889.17 |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
15 |
$426.05 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$349.62 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$345.42 |
| 71046 |
Radiologic examination, chest; 2 views |
58 |
58 |
$289.48 |
| 73630 |
|
30 |
26 |
$281.25 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
12 |
$246.94 |
| 72100 |
|
12 |
12 |
$100.33 |
| 74018 |
|
12 |
12 |
$29.23 |