| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76642 |
|
50 |
50 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
40 |
38 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
290 |
287 |
$0.00 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
250 |
250 |
$0.00 |
| 71271 |
|
57 |
57 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
124 |
122 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
364 |
355 |
$0.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
31 |
31 |
$0.00 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$0.00 |
| 71250 |
|
39 |
39 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27 |
27 |
$0.00 |
| 77080 |
|
43 |
43 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
38 |
38 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
1,617 |
1,271 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
62 |
62 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
98 |
96 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
27 |
27 |
$0.00 |