| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
120 |
117 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
942 |
688 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
118 |
115 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
59 |
58 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
45 |
29 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
402 |
321 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
26 |
$3K |
| 74018 |
|
19 |
13 |
$121.66 |
| 99053 |
|
131 |
123 |
$0.00 |