| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
11,531 |
11,378 |
$98K |
| 71045 |
Radiologic examination, chest; single view |
10,948 |
8,843 |
$58K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,192 |
1,969 |
$50K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
685 |
651 |
$43K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
256 |
233 |
$13K |
| 74018 |
|
961 |
753 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
114 |
114 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
231 |
227 |
$5K |
| 71020 |
|
158 |
87 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
20 |
14 |
$990.52 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$516.03 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$370.83 |
| 71010 |
|
46 |
41 |
$272.82 |
| 78454 |
|
12 |
12 |
$241.24 |
| 73562 |
|
13 |
13 |
$96.11 |
| 73630 |
|
13 |
12 |
$30.76 |