| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
134 |
133 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
892 |
881 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
698 |
615 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
37 |
37 |
$1K |
| 73630 |
|
106 |
106 |
$942.89 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$646.75 |
| 71271 |
|
12 |
12 |
$572.11 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
24 |
$556.50 |
| 73130 |
|
42 |
42 |
$387.01 |
| 73610 |
|
28 |
28 |
$282.14 |
| 73030 |
|
24 |
24 |
$198.49 |
| 73110 |
|
12 |
12 |
$78.01 |