| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
280 |
269 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,921 |
1,721 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,192 |
1,127 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
93 |
85 |
$2K |
| 93976 |
|
69 |
68 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
68 |
60 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
30 |
$792.79 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$379.08 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$298.61 |
| 74018 |
|
12 |
12 |
$70.84 |