| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
435 |
366 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
275 |
236 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,697 |
1,483 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
311 |
234 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
309 |
232 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
750 |
632 |
$3K |
| 73630 |
|
114 |
92 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$707.56 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$353.76 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$261.76 |
| 73610 |
|
17 |
12 |
$229.42 |