| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,036 |
963 |
$64K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,113 |
1,077 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
1,775 |
1,673 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
2,158 |
1,883 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
39 |
39 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
62 |
62 |
$3K |
| 76642 |
|
68 |
49 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
61 |
43 |
$1K |
| 73564 |
|
94 |
87 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
29 |
25 |
$946.53 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
29 |
25 |
$706.89 |
| 73630 |
|
73 |
68 |
$629.60 |
| 71271 |
|
13 |
13 |
$406.90 |
| 73610 |
|
25 |
25 |
$335.15 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$293.03 |
| 73110 |
|
25 |
25 |
$271.74 |
| 73030 |
|
16 |
13 |
$181.42 |
| 74018 |
|
17 |
12 |
$100.15 |