| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
543 |
543 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
508 |
508 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
24 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
133 |
133 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
131 |
123 |
$1K |
| 76642 |
|
24 |
24 |
$700.01 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$473.11 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$327.82 |