| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
341 |
312 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
360 |
332 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
1,588 |
1,389 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,444 |
1,243 |
$6K |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$467.35 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$454.86 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$425.13 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$319.61 |
| 73630 |
|
27 |
25 |
$261.25 |
| 73562 |
|
16 |
16 |
$186.67 |
| 74018 |
|
25 |
24 |
$105.26 |