| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
209 |
205 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,155 |
1,139 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
213 |
213 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
213 |
213 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
154 |
153 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
208 |
195 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$500.21 |
| 73562 |
|
67 |
67 |
$294.31 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$293.72 |
| 73610 |
|
55 |
55 |
$198.56 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$169.44 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$164.63 |
| 74018 |
|
25 |
25 |
$146.25 |
| 73630 |
|
40 |
40 |
$144.47 |
| 73030 |
|
12 |
12 |
$50.16 |