| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,082 |
1,066 |
$71K |
| 71046 |
Radiologic examination, chest; 2 views |
1,350 |
1,314 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,142 |
995 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
287 |
280 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
141 |
141 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
67 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
142 |
142 |
$3K |
| 72020 |
|
562 |
521 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
90 |
90 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
39 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
15 |
$480.19 |