| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
2,600 |
2,212 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
2,174 |
1,699 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
491 |
417 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
255 |
216 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
95 |
83 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
62 |
54 |
$5K |
| 71020 |
|
269 |
203 |
$3K |
| 71010 |
|
161 |
115 |
$2K |
| 74018 |
|
129 |
93 |
$881.03 |
| 76642 |
|
15 |
12 |
$508.44 |
| 73610 |
|
14 |
14 |
$201.92 |
| 73030 |
|
13 |
12 |
$150.00 |
| 73630 |
|
16 |
13 |
$134.00 |
| 72100 |
|
15 |
12 |
$126.66 |