| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
502 |
485 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
424 |
412 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
140 |
137 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,342 |
1,095 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
784 |
756 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
27 |
$1K |
| 73610 |
|
48 |
39 |
$701.00 |
| 76642 |
|
16 |
12 |
$608.52 |
| 73630 |
|
47 |
45 |
$493.35 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
13 |
$460.52 |
| 74018 |
|
53 |
46 |
$254.20 |