| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
174 |
161 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
203 |
183 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,164 |
958 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
18 |
18 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
23 |
22 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
32 |
29 |
$996.60 |
| 71010 |
|
188 |
141 |
$633.52 |
| 71020 |
|
133 |
116 |
$607.97 |
| 71046 |
Radiologic examination, chest; 2 views |
46 |
44 |
$494.26 |