| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
442 |
358 |
$2K |
| 74019 |
|
129 |
105 |
$917.19 |
| 70450 |
Computed tomography, head or brain; without contrast material |
36 |
28 |
$738.34 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
47 |
43 |
$729.58 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27 |
27 |
$551.56 |
| 71045 |
Radiologic examination, chest; single view |
136 |
91 |
$511.27 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$315.04 |
| 73564 |
|
30 |
26 |
$210.27 |
| 73610 |
|
14 |
12 |
$72.57 |