| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
554 |
496 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
651 |
592 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
1,685 |
1,489 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,688 |
1,409 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
61 |
45 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
61 |
45 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$454.86 |
| 73630 |
|
22 |
15 |
$266.14 |
| 74018 |
|
19 |
16 |
$83.10 |