| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
417 |
400 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,194 |
1,104 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
106 |
101 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
69 |
68 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
266 |
230 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
69 |
68 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
25 |
$642.23 |