| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
270 |
241 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
687 |
686 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,811 |
2,221 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,404 |
1,327 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
225 |
225 |
$4K |
| 73630 |
|
272 |
238 |
$3K |
| 27096 |
|
16 |
12 |
$2K |
| 76642 |
|
88 |
83 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
26 |
$1K |
| 77065 |
Tomosynthesis, mammo |
45 |
43 |
$855.40 |
| 73610 |
|
52 |
51 |
$643.86 |
| 72100 |
|
39 |
39 |
$448.66 |
| 73564 |
|
44 |
39 |
$333.00 |
| 73030 |
|
29 |
27 |
$315.38 |
| 93971 |
|
30 |
30 |
$252.11 |
| 99152 |
|
17 |
15 |
$97.73 |