| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
577 |
544 |
$39K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
540 |
527 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
1,823 |
1,700 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,181 |
1,140 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
30 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
43 |
42 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$583.90 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$313.41 |
| 73030 |
|
13 |
12 |
$116.70 |
| 73562 |
|
12 |
12 |
$106.30 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
33 |
27 |
$0.00 |