| Code | Description | Claims | Beneficiaries | Total Paid |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,223 |
937 |
$173K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,018 |
6,006 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
1,050 |
683 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
55 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
251 |
180 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17 |
12 |
$315.33 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
17 |
12 |
$133.61 |