| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,058 |
1,031 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,310 |
2,184 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
3,502 |
3,464 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
5,512 |
4,672 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
338 |
319 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
164 |
145 |
$4K |
| 76641 |
|
139 |
105 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
68 |
68 |
$2K |
| 71250 |
|
58 |
57 |
$757.77 |
| 73630 |
|
210 |
176 |
$546.86 |
| 70486 |
|
24 |
24 |
$446.32 |
| 73564 |
|
84 |
57 |
$354.41 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$217.34 |
| 73030 |
|
75 |
65 |
$207.16 |
| 73610 |
|
70 |
57 |
$180.12 |
| 72100 |
|
29 |
29 |
$95.14 |
| 73130 |
|
26 |
25 |
$84.38 |
| 74018 |
|
14 |
12 |
$76.47 |
| 73562 |
|
17 |
12 |
$37.66 |