| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,119 |
1,032 |
$73K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,055 |
1,790 |
$54K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,057 |
802 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
3,576 |
3,066 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
279 |
268 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
176 |
167 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,145 |
1,081 |
$6K |
| 76642 |
|
277 |
238 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
40 |
$1K |
| 74018 |
|
158 |
146 |
$860.83 |
| 77065 |
Tomosynthesis, mammo |
20 |
13 |
$574.72 |
| 73630 |
|
40 |
36 |
$408.42 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$360.84 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$353.76 |