| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
172 |
168 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
709 |
688 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
93 |
87 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
495 |
473 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
108 |
108 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
109 |
109 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
30 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
54 |
54 |
$2K |
| 71250 |
|
15 |
15 |
$424.73 |
| 74018 |
|
39 |
38 |
$300.34 |
| 72110 |
|
18 |
18 |
$272.22 |
| 73564 |
|
15 |
15 |
$164.39 |
| 73630 |
|
18 |
18 |
$163.15 |
| 72100 |
|
13 |
13 |
$146.70 |
| 73502 |
|
12 |
12 |
$107.88 |