| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
205 |
182 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
86 |
76 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
922 |
782 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
75 |
64 |
$3K |
| 76642 |
|
34 |
24 |
$867.35 |
| 71010 |
|
134 |
115 |
$450.48 |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
50 |
$406.02 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$254.39 |
| 99053 |
|
17 |
16 |
$10.54 |
| 71020 |
|
16 |
16 |
$0.00 |