| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
935 |
923 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
157 |
157 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
157 |
157 |
$4K |
| 73630 |
|
148 |
134 |
$961.83 |
| 71045 |
Radiologic examination, chest; single view |
142 |
140 |
$957.44 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$936.74 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$790.94 |
| 73110 |
|
45 |
42 |
$297.72 |
| 73030 |
|
33 |
29 |
$243.12 |
| 73610 |
|
13 |
13 |
$88.14 |