| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,383 |
2,060 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
360 |
344 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,242 |
1,170 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
138 |
123 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
85 |
84 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
69 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$580.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
24 |
$254.69 |
| 72110 |
|
12 |
12 |
$122.13 |