| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
552 |
410 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
729 |
510 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
88 |
86 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
50 |
28 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
20 |
18 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$994.88 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$915.57 |
| 73030 |
|
16 |
13 |
$340.26 |
| 74018 |
|
29 |
25 |
$223.80 |