| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
199 |
190 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
797 |
715 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,154 |
752 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
355 |
324 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
38 |
38 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
12 |
$961.26 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
59 |
56 |
$828.96 |
| 74018 |
|
55 |
52 |
$618.95 |
| 93971 |
|
38 |
37 |
$460.05 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$448.37 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$207.66 |
| 73610 |
|
15 |
12 |
$96.81 |
| 73630 |
|
14 |
12 |
$77.58 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$0.00 |