| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,240 |
1,126 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,540 |
1,375 |
$7K |
| 71250 |
|
616 |
572 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
5,748 |
3,620 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
1,377 |
1,163 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$100.00 |
| 72131 |
|
13 |
12 |
$88.25 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$71.71 |
| 93971 |
|
12 |
12 |
$39.06 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$38.54 |
| 74022 |
|
35 |
26 |
$35.76 |
| 73030 |
|
24 |
24 |
$24.79 |
| 73502 |
|
12 |
12 |
$10.82 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
69 |
68 |
$0.00 |