| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,136 |
1,076 |
$67K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
685 |
655 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,059 |
849 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
966 |
760 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,255 |
1,777 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
101 |
100 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
656 |
615 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
24 |
$3K |
| 76642 |
|
110 |
100 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
54 |
53 |
$856.17 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
24 |
$773.32 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
12 |
$601.45 |