| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
190 |
187 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
888 |
820 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
138 |
138 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
106 |
106 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
138 |
138 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
246 |
245 |
$2K |
| 76642 |
|
38 |
38 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
26 |
$1K |
| 76641 |
|
14 |
14 |
$669.64 |