| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
206 |
203 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
331 |
318 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
918 |
682 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,093 |
832 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
68 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
38 |
38 |
$5K |
| 73564 |
|
49 |
40 |
$2K |
| 72110 |
|
18 |
18 |
$864.16 |
| 73610 |
|
14 |
12 |
$243.81 |
| 74018 |
|
39 |
15 |
$168.07 |
| 99053 |
|
193 |
174 |
$0.00 |