| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,483 |
1,151 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
205 |
178 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
76 |
67 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
239 |
205 |
$2K |
| 76830 |
Ultrasound, transvaginal |
15 |
12 |
$923.29 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$912.00 |
| 73630 |
|
68 |
58 |
$845.14 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
33 |
30 |
$770.10 |
| 73610 |
|
64 |
54 |
$748.40 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
33 |
30 |
$571.80 |
| 71020 |
|
20 |
20 |
$350.00 |
| 71010 |
|
16 |
15 |
$153.00 |
| 73030 |
|
14 |
12 |
$150.00 |