| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
178 |
170 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
194 |
183 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,243 |
1,159 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
760 |
673 |
$3K |
| 76830 |
Ultrasound, transvaginal |
91 |
78 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
65 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
72 |
65 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
37 |
35 |
$1K |
| 73630 |
|
26 |
25 |
$265.40 |
| 73610 |
|
14 |
13 |
$200.51 |
| 73562 |
|
12 |
12 |
$133.56 |