| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
34,135 |
18,206 |
$53K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
379 |
353 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
973 |
604 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
164 |
121 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
584 |
454 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
122 |
103 |
$823.77 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
97 |
81 |
$622.95 |
| 76830 |
Ultrasound, transvaginal |
18 |
18 |
$402.84 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
82 |
51 |
$366.81 |
| 76376 |
|
92 |
69 |
$222.01 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13 |
13 |
$195.45 |
| 76641 |
|
24 |
13 |
$165.51 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
13 |
$96.74 |
| 76775 |
|
13 |
12 |
$48.59 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$47.15 |