| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
949 |
686 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
920 |
657 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
26 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
44 |
42 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
189 |
174 |
$951.74 |
| 71045 |
Radiologic examination, chest; single view |
286 |
239 |
$940.00 |
| 76642 |
|
12 |
12 |
$228.91 |