| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
138 |
138 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
217 |
213 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,097 |
912 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
182 |
182 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
182 |
182 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
458 |
453 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
24 |
24 |
$896.37 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$896.05 |
| 73630 |
|
74 |
74 |
$590.49 |
| 73610 |
|
51 |
51 |
$447.81 |
| 73030 |
|
37 |
37 |
$362.89 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$334.53 |
| 73130 |
|
28 |
27 |
$232.42 |
| 72110 |
|
17 |
17 |
$217.28 |