| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
571 |
565 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
243 |
240 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
244 |
244 |
$9K |
| 71250 |
|
117 |
117 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
155 |
155 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
138 |
138 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
768 |
730 |
$6K |
| 75574 |
|
54 |
53 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
219 |
217 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
18 |
18 |
$2K |
| 76376 |
|
46 |
43 |
$421.19 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$259.63 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$7.85 |
| 99053 |
|
140 |
132 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
273 |
273 |
$0.00 |
| 82565 |
|
37 |
37 |
$0.00 |