| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
244 |
235 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
169 |
154 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
439 |
420 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27 |
25 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
412 |
331 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
27 |
25 |
$900.95 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$760.83 |