| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
404 |
398 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
20 |
20 |
$653.00 |
| 71045 |
Radiologic examination, chest; single view |
92 |
77 |
$445.68 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$380.14 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$368.68 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$342.94 |
| 71271 |
|
12 |
12 |
$320.39 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$285.48 |
| 73630 |
|
13 |
13 |
$87.56 |