| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
266 |
218 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,439 |
1,191 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
204 |
159 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
44 |
40 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$687.77 |
| 71046 |
Radiologic examination, chest; 2 views |
110 |
100 |
$623.99 |
| 76642 |
|
25 |
25 |
$499.44 |
| 77065 |
Tomosynthesis, mammo |
16 |
13 |
$459.70 |