| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
890 |
738 |
$827.27 |
| 76801 |
|
12 |
12 |
$555.55 |
| 74019 |
|
314 |
233 |
$396.13 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
180 |
163 |
$284.92 |
| 71045 |
Radiologic examination, chest; single view |
2,021 |
1,401 |
$266.54 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
118 |
87 |
$239.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
248 |
200 |
$223.72 |
| 73110 |
|
51 |
43 |
$127.34 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
84 |
78 |
$103.47 |
| 73610 |
|
31 |
26 |
$96.00 |
| 73630 |
|
91 |
65 |
$51.04 |
| 73030 |
|
14 |
13 |
$33.27 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
181 |
165 |
$19.20 |
| 74018 |
|
50 |
38 |
$0.00 |
| 73562 |
|
20 |
13 |
$0.00 |