| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
207 |
198 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
259 |
250 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
660 |
611 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
746 |
648 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$502.09 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$501.14 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$223.92 |
| 73610 |
|
27 |
27 |
$171.46 |