| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
3,335 |
2,523 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
139 |
129 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
122 |
104 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
380 |
335 |
$3K |
| 71010 |
|
550 |
458 |
$2K |
| 74018 |
|
115 |
98 |
$866.94 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
14 |
$498.30 |
| 73610 |
|
35 |
28 |
$412.80 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
13 |
$381.20 |
| 71020 |
|
170 |
155 |
$336.59 |
| 73130 |
|
19 |
15 |
$170.51 |
| 73630 |
|
24 |
15 |
$150.00 |
| 99053 |
|
41 |
39 |
$0.00 |