| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
204 |
198 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
223 |
223 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
207 |
207 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
239 |
235 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,087 |
985 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
99 |
97 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
359 |
354 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
25 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
40 |
$792.49 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$771.28 |
| 73630 |
|
43 |
39 |
$248.18 |
| 73562 |
|
15 |
13 |
$97.84 |
| 73030 |
|
13 |
13 |
$85.92 |
| 74018 |
|
12 |
12 |
$71.75 |
| 73610 |
|
13 |
12 |
$67.85 |