| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
338 |
310 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
456 |
422 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,028 |
1,800 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,276 |
1,049 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
124 |
98 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
125 |
99 |
$3K |
| 73630 |
|
80 |
77 |
$769.71 |
| 73562 |
|
40 |
25 |
$368.79 |
| 73610 |
|
20 |
13 |
$325.80 |
| 74018 |
|
27 |
26 |
$133.51 |