| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,925 |
1,862 |
$97K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,817 |
1,757 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
286 |
273 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
1,994 |
1,903 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
406 |
385 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,657 |
1,416 |
$8K |
| 73630 |
|
326 |
292 |
$3K |
| 73562 |
|
199 |
155 |
$3K |
| 76642 |
|
41 |
41 |
$2K |
| 73610 |
|
161 |
141 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
24 |
$1K |
| 72100 |
|
69 |
64 |
$1K |
| 71271 |
|
14 |
14 |
$914.28 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
25 |
$843.73 |
| 73030 |
|
61 |
55 |
$754.49 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$291.95 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$275.30 |
| 73130 |
|
17 |
15 |
$207.48 |