| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
354 |
315 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
478 |
431 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,295 |
2,001 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
929 |
804 |
$4K |
| 73630 |
|
145 |
119 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
55 |
49 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
55 |
49 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$454.86 |
| 73130 |
|
39 |
25 |
$362.66 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$317.28 |
| 73610 |
|
25 |
25 |
$306.43 |
| 73562 |
|
18 |
12 |
$183.91 |