| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
68 |
67 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
77 |
77 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
224 |
217 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
312 |
278 |
$949.14 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$909.72 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
24 |
$598.21 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
12 |
$149.24 |
| 73630 |
|
12 |
12 |
$123.05 |