| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
165 |
162 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,294 |
1,213 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
187 |
187 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
583 |
581 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
187 |
187 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
114 |
113 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
51 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$517.66 |
| 73630 |
|
43 |
41 |
$360.31 |
| 76642 |
|
12 |
12 |
$257.12 |
| 73610 |
|
13 |
12 |
$147.08 |
| 74018 |
|
14 |
14 |
$86.22 |