| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
645 |
517 |
$5K |
| 76506 |
|
116 |
101 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
238 |
222 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
59 |
57 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
33 |
27 |
$2K |
| 71020 |
|
131 |
126 |
$2K |
| 71010 |
|
72 |
59 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$477.00 |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
16 |
14 |
$240.38 |