| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
656 |
638 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
343 |
319 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
357 |
339 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,649 |
2,329 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
103 |
98 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
485 |
466 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
68 |
65 |
$1K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$391.56 |