| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
501 |
407 |
$55K |
| 77065 |
Tomosynthesis, mammo |
107 |
95 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
367 |
266 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
34 |
34 |
$2K |
| 76642 |
|
16 |
16 |
$2K |
| 77080 |
|
30 |
30 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
26 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
88 |
70 |
$744.19 |
| 99053 |
|
38 |
37 |
$0.00 |