| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
8,442 |
6,167 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
790 |
764 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
297 |
285 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
769 |
733 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,570 |
1,541 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
115 |
111 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
143 |
131 |
$3K |
| 76818 |
|
96 |
83 |
$3K |
| 74018 |
|
103 |
90 |
$574.68 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
39 |
37 |
$515.34 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$250.05 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$215.13 |
| 71250 |
|
14 |
13 |
$126.58 |