| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
296 |
291 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
501 |
492 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
1,553 |
1,466 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
183 |
180 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,047 |
1,034 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
81 |
81 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
32 |
32 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
29 |
29 |
$765.02 |
| 73221 |
|
13 |
13 |
$704.57 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$663.74 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$545.64 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$517.40 |
| 73630 |
|
36 |
36 |
$240.42 |
| 74018 |
|
12 |
12 |
$72.48 |