| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
694 |
694 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
119 |
118 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
328 |
328 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
903 |
873 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
57 |
56 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
51 |
51 |
$792.17 |
| 73630 |
|
67 |
66 |
$314.94 |
| 76642 |
|
16 |
12 |
$276.76 |
| 71045 |
Radiologic examination, chest; single view |
54 |
54 |
$243.34 |
| 72110 |
|
12 |
12 |
$87.96 |
| 73030 |
|
14 |
14 |
$80.79 |
| 73610 |
|
12 |
12 |
$64.35 |
| 73130 |
|
13 |
12 |
$59.41 |