| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
342 |
311 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
129 |
127 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,493 |
1,122 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
39 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
279 |
253 |
$2K |
| 71010 |
|
490 |
411 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$1K |
| 76642 |
|
17 |
15 |
$898.80 |
| 71020 |
|
208 |
201 |
$611.79 |
| 73630 |
|
25 |
24 |
$288.00 |
| 74018 |
|
18 |
14 |
$144.17 |