| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
141 |
132 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,132 |
928 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
57 |
53 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
71 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
373 |
338 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
56 |
56 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$1K |
| 71010 |
|
109 |
100 |
$348.90 |
| 73630 |
|
15 |
13 |
$182.00 |
| 71020 |
|
57 |
55 |
$18.00 |