| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
254 |
250 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
290 |
286 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,458 |
1,406 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
289 |
285 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
194 |
194 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
634 |
630 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
58 |
58 |
$3K |
| 76642 |
|
55 |
55 |
$1K |
| 73630 |
|
105 |
101 |
$797.57 |
| 77080 |
|
129 |
128 |
$683.24 |
| 72100 |
|
42 |
42 |
$404.64 |
| 73130 |
|
38 |
38 |
$357.94 |
| 76770 |
|
12 |
12 |
$340.41 |
| 73030 |
|
30 |
29 |
$268.96 |
| 73610 |
|
25 |
25 |
$177.46 |
| 73110 |
|
13 |
13 |
$108.91 |