| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
469 |
468 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
270 |
269 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
469 |
468 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,734 |
1,613 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
377 |
373 |
$4K |
| 76642 |
|
139 |
139 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
462 |
460 |
$3K |
| 77066 |
Tomosynthesis, mammo |
59 |
59 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
43 |
43 |
$1K |
| 71271 |
|
67 |
67 |
$1K |
| 77065 |
Tomosynthesis, mammo |
36 |
35 |
$798.89 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$477.21 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$421.57 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$357.31 |
| 76536 |
|
29 |
29 |
$357.15 |
| 77062 |
|
12 |
12 |
$319.60 |
| 77080 |
|
58 |
58 |
$166.76 |
| 73630 |
|
18 |
15 |
$85.50 |
| 73610 |
|
17 |
13 |
$66.64 |