| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,004 |
998 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,093 |
891 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
91 |
$2K |
| 76536 |
|
71 |
71 |
$2K |
| 73630 |
|
201 |
200 |
$2K |
| 73562 |
|
171 |
171 |
$2K |
| 73030 |
|
145 |
143 |
$1K |
| 73610 |
|
150 |
147 |
$1K |
| 72110 |
|
69 |
69 |
$888.84 |
| 73130 |
|
79 |
79 |
$659.98 |
| 74018 |
|
79 |
79 |
$549.47 |
| 72100 |
|
53 |
53 |
$504.19 |
| 71250 |
|
13 |
13 |
$428.88 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$330.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$293.85 |
| 73110 |
|
38 |
38 |
$291.52 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$237.42 |
| 72050 |
|
12 |
12 |
$147.76 |
| 73502 |
|
13 |
13 |
$121.15 |