| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,422 |
1,085 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
112 |
98 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
82 |
75 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
83 |
76 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
64 |
61 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
22 |
12 |
$672.66 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$608.00 |
| 71010 |
|
586 |
465 |
$597.03 |
| 74018 |
|
102 |
70 |
$541.01 |
| 71020 |
|
200 |
178 |
$525.52 |
| 71046 |
Radiologic examination, chest; 2 views |
55 |
48 |
$433.51 |
| 73564 |
|
15 |
13 |
$175.43 |
| 74000 |
|
126 |
106 |
$106.78 |