| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
430 |
387 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
404 |
370 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,540 |
2,231 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,204 |
1,034 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
138 |
124 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
137 |
123 |
$3K |
| 73630 |
|
87 |
82 |
$887.45 |
| 73562 |
|
44 |
41 |
$498.40 |
| 73030 |
|
28 |
25 |
$301.11 |
| 73130 |
|
15 |
15 |
$169.90 |
| 73110 |
|
13 |
12 |
$125.32 |