| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
594 |
545 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
1,118 |
1,025 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
854 |
723 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
53 |
53 |
$2K |
| 73610 |
|
69 |
50 |
$1K |
| 73630 |
|
110 |
99 |
$1K |
| 73562 |
|
104 |
83 |
$925.68 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
14 |
$691.25 |
| 73030 |
|
46 |
38 |
$459.28 |
| 73110 |
|
37 |
36 |
$382.74 |
| 72110 |
|
25 |
24 |
$363.25 |
| 73501 |
|
57 |
36 |
$287.78 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$272.64 |
| 73130 |
|
16 |
13 |
$219.60 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$215.64 |