| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
501 |
495 |
$33K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
538 |
538 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
538 |
538 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,919 |
1,518 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
284 |
282 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
717 |
710 |
$6K |
| 71250 |
|
118 |
118 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
79 |
77 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
60 |
59 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
59 |
57 |
$1K |
| 76536 |
|
13 |
13 |
$294.55 |
| 76775 |
|
14 |
14 |
$294.09 |