| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
565 |
536 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
504 |
501 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
603 |
452 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
545 |
403 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
3,027 |
2,568 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,017 |
999 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
59 |
55 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
83 |
70 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
39 |
38 |
$620.07 |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$387.31 |
| 73610 |
|
25 |
24 |
$331.51 |
| 73630 |
|
24 |
24 |
$221.99 |
| 93971 |
|
13 |
13 |
$145.00 |