| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76770 |
|
170 |
170 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
224 |
206 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
249 |
246 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,336 |
2,119 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,212 |
1,135 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
72 |
67 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
28 |
$4K |
| 76536 |
|
26 |
26 |
$3K |
| 74018 |
|
124 |
95 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$505.40 |
| 73610 |
|
13 |
13 |
$175.94 |