| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,512 |
1,490 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
266 |
240 |
$18K |
| 76642 |
|
398 |
315 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,464 |
1,248 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
751 |
714 |
$4K |
| 77066 |
Tomosynthesis, mammo |
74 |
71 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
48 |
46 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
31 |
28 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$467.35 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$431.40 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$431.28 |
| 74018 |
|
79 |
70 |
$414.72 |
| 77065 |
Tomosynthesis, mammo |
16 |
15 |
$391.04 |
| 72110 |
|
13 |
13 |
$181.04 |