| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
5,430 |
3,831 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
669 |
501 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
2,055 |
1,691 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
543 |
510 |
$10K |
| 71010 |
|
563 |
468 |
$6K |
| 71020 |
|
383 |
349 |
$6K |
| 73630 |
|
317 |
269 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
75 |
50 |
$3K |
| 73130 |
|
196 |
168 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
37 |
24 |
$2K |
| 73610 |
|
168 |
155 |
$2K |
| 73560 |
|
271 |
190 |
$2K |
| 78451 |
|
35 |
27 |
$1K |
| 73030 |
|
124 |
87 |
$894.67 |
| 72100 |
|
87 |
66 |
$610.29 |
| 74018 |
|
113 |
74 |
$581.48 |
| 78453 |
|
15 |
15 |
$291.84 |
| 73110 |
|
36 |
25 |
$240.00 |
| 74000 |
|
16 |
12 |
$165.00 |
| 71250 |
|
12 |
12 |
$161.60 |
| 73502 |
|
23 |
13 |
$48.79 |