| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
642 |
613 |
$32K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,127 |
1,041 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
456 |
433 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
5,546 |
3,816 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,237 |
1,821 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
127 |
122 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
110 |
107 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
39 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
25 |
$934.48 |
| 73610 |
|
58 |
52 |
$373.85 |
| 73130 |
|
38 |
37 |
$302.37 |
| 73630 |
|
53 |
51 |
$279.11 |
| 71250 |
|
14 |
14 |
$248.54 |
| 73030 |
|
15 |
14 |
$116.92 |
| 73564 |
|
14 |
12 |
$110.26 |
| 73110 |
|
13 |
13 |
$92.82 |
| 74018 |
|
14 |
12 |
$49.20 |