| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
453 |
449 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
2,332 |
2,304 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
343 |
337 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,074 |
884 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
141 |
141 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
111 |
111 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 76642 |
|
24 |
24 |
$795.42 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$757.32 |
| 74018 |
|
27 |
26 |
$238.93 |