| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
287 |
287 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
460 |
460 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
460 |
460 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,009 |
899 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
93 |
92 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
286 |
283 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
32 |
32 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$689.79 |
| 76642 |
|
14 |
14 |
$397.97 |