| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,924 |
2,607 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
156 |
156 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
277 |
272 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
145 |
144 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
150 |
150 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
150 |
150 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
510 |
506 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
50 |
49 |
$3K |
| 71250 |
|
45 |
44 |
$2K |
| 72128 |
|
43 |
43 |
$2K |
| 72131 |
|
32 |
32 |
$1K |
| 73630 |
|
159 |
157 |
$1K |
| 73610 |
|
80 |
79 |
$651.81 |
| 73590 |
|
13 |
13 |
$106.76 |
| 73130 |
|
15 |
15 |
$101.63 |
| 73560 |
|
12 |
12 |
$88.40 |
| 72170 |
|
12 |
12 |
$86.79 |
| 73030 |
|
12 |
12 |
$76.49 |