| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
363 |
353 |
$34K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
145 |
113 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
1,309 |
811 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
182 |
171 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
93 |
89 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
589 |
444 |
$5K |
| 74018 |
|
571 |
312 |
$3K |
| 73630 |
|
13 |
12 |
$163.80 |
| 73130 |
|
12 |
12 |
$135.68 |
| 99053 |
|
245 |
218 |
$0.00 |