| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
684 |
672 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
4,089 |
2,583 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
834 |
833 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
140 |
140 |
$2K |
| 71250 |
|
196 |
189 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
51 |
49 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
219 |
219 |
$264.60 |
| 74018 |
|
38 |
27 |
$99.63 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
26 |
$63.06 |
| 73562 |
|
19 |
12 |
$28.41 |
| 77080 |
|
169 |
169 |
$7.75 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
22 |
22 |
$0.00 |