| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,027 |
946 |
$68K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
485 |
465 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
4,152 |
3,476 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
868 |
809 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
110 |
110 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
61 |
57 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
14 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
12 |
$757.69 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$695.04 |
| 73630 |
|
58 |
51 |
$586.61 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
12 |
$585.84 |