| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
701 |
699 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,905 |
1,760 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
426 |
426 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
127 |
126 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
141 |
132 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
32 |
30 |
$2K |
| 73630 |
|
193 |
165 |
$885.05 |
| 73564 |
|
74 |
65 |
$441.75 |
| 73610 |
|
69 |
66 |
$306.90 |
| 73130 |
|
58 |
53 |
$257.41 |
| 72110 |
|
29 |
29 |
$225.12 |
| 73030 |
|
45 |
41 |
$203.95 |