| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
136 |
132 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
139 |
130 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
93 |
66 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
523 |
460 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
73 |
53 |
$2K |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$467.35 |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
70 |
$405.23 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$346.25 |