| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,801 |
1,433 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
337 |
258 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
132 |
107 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
170 |
168 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
73 |
73 |
$556.94 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$177.38 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
12 |
$153.00 |
| 71010 |
|
20 |
20 |
$127.08 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
14 |
$119.18 |
| 76770 |
|
13 |
13 |
$109.84 |