| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
198 |
191 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
20 |
$3K |
| 76642 |
|
66 |
63 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
158 |
149 |
$2K |
| 77065 |
Tomosynthesis, mammo |
30 |
29 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
38 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
18 |
$695.79 |
| 71045 |
Radiologic examination, chest; single view |
18 |
18 |
$83.25 |