| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,168 |
2,153 |
$169K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,071 |
3,950 |
$130K |
| 71045 |
Radiologic examination, chest; single view |
11,670 |
9,804 |
$84K |
| 76641 |
|
860 |
662 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
2,603 |
2,593 |
$25K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
469 |
468 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
464 |
463 |
$12K |
| 76376 |
|
664 |
653 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
49 |
49 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
150 |
148 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
38 |
38 |
$3K |
| 93970 |
|
12 |
12 |
$392.56 |
| 93971 |
|
12 |
12 |
$271.32 |