| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,625 |
1,498 |
$55K |
| 71045 |
Radiologic examination, chest; single view |
5,665 |
4,923 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,283 |
1,182 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
842 |
798 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
734 |
664 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,493 |
1,418 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$896.18 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$690.56 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
12 |
$293.52 |
| 73130 |
|
14 |
12 |
$71.00 |
| 73630 |
|
15 |
14 |
$57.74 |