| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
651 |
585 |
$45K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
309 |
293 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
2,348 |
2,065 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,491 |
1,219 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
33 |
28 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
38 |
38 |
$925.11 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
38 |
$812.34 |
| 73562 |
|
29 |
24 |
$310.64 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
12 |
$277.16 |
| 73630 |
|
17 |
13 |
$261.61 |
| 73030 |
|
18 |
12 |
$192.47 |
| 74018 |
|
14 |
14 |
$54.70 |