| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
386 |
382 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
394 |
388 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,157 |
1,153 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
177 |
177 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
176 |
176 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
399 |
357 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$277.59 |