| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
932 |
895 |
$58K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
338 |
332 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
346 |
326 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
1,130 |
1,065 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,026 |
1,613 |
$8K |
| 76376 |
|
739 |
705 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
104 |
103 |
$3K |
| 76642 |
|
40 |
37 |
$2K |
| 73630 |
|
99 |
94 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
41 |
$891.90 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$623.91 |
| 73610 |
|
30 |
29 |
$605.17 |
| 74018 |
|
33 |
29 |
$156.58 |