| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
251 |
214 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,909 |
1,445 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,359 |
1,138 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
362 |
291 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
88 |
81 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
27 |
26 |
$710.90 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
31 |
17 |
$627.24 |
| 76642 |
|
36 |
26 |
$614.53 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
42 |
40 |
$562.95 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
15 |
$482.50 |
| 74018 |
|
64 |
45 |
$273.93 |
| 72100 |
|
26 |
26 |
$207.60 |
| 73562 |
|
41 |
27 |
$146.34 |
| 73110 |
|
15 |
12 |
$74.70 |
| 73030 |
|
19 |
13 |
$59.26 |
| 73630 |
|
13 |
12 |
$58.58 |
| 76376 |
|
17 |
12 |
$25.12 |