| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,827 |
2,352 |
$76K |
| 70450 |
Computed tomography, head or brain; without contrast material |
892 |
829 |
$59K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,528 |
1,080 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
2,575 |
2,244 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
207 |
200 |
$8K |
| 76642 |
|
279 |
227 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
125 |
120 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
706 |
674 |
$4K |
| 77066 |
Tomosynthesis, mammo |
83 |
72 |
$3K |
| 74018 |
|
188 |
161 |
$935.51 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
25 |
$782.76 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
28 |
$606.55 |
| 77065 |
Tomosynthesis, mammo |
18 |
13 |
$448.37 |
| 93976 |
|
13 |
13 |
$196.84 |
| 73630 |
|
15 |
12 |
$172.00 |