| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
535 |
485 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
561 |
531 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
697 |
584 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
697 |
584 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,998 |
1,814 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,019 |
728 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
27 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
65 |
56 |
$2K |
| 72100 |
|
121 |
118 |
$2K |
| 77066 |
Tomosynthesis, mammo |
31 |
25 |
$1K |
| 76642 |
|
44 |
38 |
$874.03 |
| 73610 |
|
60 |
59 |
$873.13 |
| 73630 |
|
71 |
69 |
$767.87 |
| 73030 |
|
26 |
24 |
$249.84 |
| 73130 |
|
25 |
25 |
$240.44 |