| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,700 |
1,642 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
6,527 |
5,239 |
$42K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
627 |
620 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
2,925 |
2,893 |
$24K |
| 76641 |
|
640 |
463 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
302 |
301 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
232 |
231 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
26 |
26 |
$1K |
| 76376 |
|
158 |
158 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$688.53 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
27 |
$563.11 |
| 93971 |
|
16 |
14 |
$247.15 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155 |
140 |
$0.00 |