| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
174 |
165 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
125 |
122 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
670 |
658 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
107 |
90 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
107 |
90 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
458 |
438 |
$2K |
| 73630 |
|
78 |
74 |
$746.76 |
| 73610 |
|
14 |
14 |
$188.01 |
| 73110 |
|
16 |
13 |
$177.60 |