| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
197 |
180 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,118 |
996 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
127 |
117 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
113 |
104 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
237 |
222 |
$2K |
| 73630 |
|
169 |
155 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
16 |
$1K |
| 74018 |
|
72 |
69 |
$618.44 |
| 73110 |
|
14 |
13 |
$199.80 |
| 73610 |
|
12 |
12 |
$148.51 |
| 73130 |
|
14 |
14 |
$140.71 |