| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
93 |
92 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
105 |
104 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
58 |
58 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
190 |
163 |
$678.28 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$674.45 |
| 76642 |
|
16 |
12 |
$432.55 |
| 71046 |
Radiologic examination, chest; 2 views |
77 |
75 |
$384.68 |
| 74018 |
|
12 |
12 |
$70.35 |