| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
154 |
145 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
202 |
199 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
123 |
96 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
639 |
562 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
84 |
71 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
101 |
100 |
$482.88 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
17 |
$419.22 |