| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
954 |
942 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
118 |
118 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
696 |
623 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
94 |
91 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
74 |
74 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
26 |
$2K |
| 76642 |
|
41 |
37 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
29 |
29 |
$903.68 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$439.31 |