| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
427 |
385 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
223 |
194 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,209 |
1,066 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
212 |
154 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
192 |
142 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
829 |
696 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
28 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
13 |
$535.37 |
| 74022 |
|
12 |
12 |
$251.40 |