| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
162 |
157 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
129 |
109 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
437 |
380 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
391 |
326 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
60 |
54 |
$2K |
| 71020 |
|
140 |
114 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
30 |
28 |
$905.48 |
| 71010 |
|
18 |
14 |
$238.00 |
| 74018 |
|
15 |
13 |
$139.47 |