| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
85 |
80 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
87 |
85 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
21 |
20 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
376 |
319 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
49 |
46 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
232 |
216 |
$1K |
| 71250 |
|
37 |
36 |
$839.42 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
33 |
28 |
$660.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$460.15 |
| 74018 |
|
29 |
26 |
$137.84 |