| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
382 |
352 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
429 |
323 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
85 |
79 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
68 |
63 |
$2K |
| 76830 |
Ultrasound, transvaginal |
57 |
54 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
41 |
40 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$818.30 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
12 |
$783.20 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
18 |
15 |
$748.80 |
| 93971 |
|
13 |
12 |
$286.11 |
| 73610 |
|
21 |
12 |
$81.77 |