| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
190 |
176 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
206 |
191 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,049 |
859 |
$7K |
| 71010 |
|
260 |
218 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
151 |
138 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$650.68 |
| 71020 |
|
111 |
102 |
$506.80 |