| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
459 |
448 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
300 |
285 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
593 |
584 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
631 |
430 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
63 |
63 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
29 |
$635.32 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18 |
13 |
$577.83 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$555.94 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
14 |
$551.47 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
18 |
13 |
$371.65 |
| 73610 |
|
24 |
24 |
$344.40 |
| 73630 |
|
20 |
16 |
$221.69 |
| 73110 |
|
13 |
13 |
$144.30 |
| 73030 |
|
13 |
12 |
$141.95 |
| 74018 |
|
12 |
12 |
$66.48 |