| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
366 |
343 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
375 |
353 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,235 |
2,691 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,026 |
975 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
98 |
98 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$454.52 |
| 99152 |
|
47 |
37 |
$255.41 |
| 73630 |
|
26 |
26 |
$251.52 |
| 73030 |
|
12 |
12 |
$121.27 |
| 74018 |
|
12 |
12 |
$60.17 |