| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,484 |
1,346 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
936 |
871 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
4,121 |
3,860 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
6,239 |
5,233 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
81 |
78 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
188 |
179 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
160 |
154 |
$947.55 |
| 73630 |
|
13 |
12 |
$53.16 |