| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
127 |
64 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,282 |
777 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
75 |
73 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
424 |
333 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
39 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
44 |
41 |
$2K |
| 72110 |
|
14 |
14 |
$685.88 |
| 99152 |
|
15 |
12 |
$418.33 |
| 93880 |
|
17 |
15 |
$369.32 |
| 99053 |
|
126 |
88 |
$0.00 |