| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
627 |
605 |
$44K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
272 |
254 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
1,610 |
1,537 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,169 |
1,009 |
$5K |
| 73610 |
|
166 |
155 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
73 |
73 |
$3K |
| 76642 |
|
72 |
63 |
$3K |
| 73630 |
|
94 |
88 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
40 |
40 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
15 |
$939.07 |
| 77066 |
Tomosynthesis, mammo |
14 |
12 |
$880.83 |
| 73110 |
|
40 |
35 |
$711.24 |
| 74018 |
|
97 |
88 |
$596.55 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$521.93 |
| 73130 |
|
34 |
29 |
$494.10 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
24 |
24 |
$351.04 |
| 73030 |
|
19 |
14 |
$333.00 |
| 73564 |
|
13 |
12 |
$222.51 |
| 72100 |
|
12 |
12 |
$157.85 |