| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
187 |
155 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,124 |
695 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
231 |
193 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
144 |
121 |
$5K |
| 70496 |
|
37 |
33 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
111 |
92 |
$4K |
| 70498 |
|
37 |
33 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
79 |
73 |
$1K |
| 70486 |
|
31 |
25 |
$1K |
| 73560 |
|
129 |
107 |
$735.62 |
| 73130 |
|
71 |
61 |
$446.85 |
| 73590 |
|
64 |
58 |
$347.87 |
| 73630 |
|
28 |
25 |
$149.27 |
| 73552 |
|
22 |
17 |
$148.15 |
| 73610 |
|
22 |
18 |
$139.36 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
16 |
$96.69 |
| 73030 |
|
13 |
12 |
$92.60 |
| 72170 |
|
14 |
13 |
$69.47 |