| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
271 |
263 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
118 |
114 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
468 |
435 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
223 |
222 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
28 |
$659.85 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$295.36 |
| 74018 |
|
19 |
18 |
$90.44 |