| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,107 |
614 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
185 |
164 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
420 |
382 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
44 |
22 |
$2K |
| 74018 |
|
228 |
156 |
$1K |
| 76642 |
|
18 |
18 |
$772.41 |
| 77065 |
Tomosynthesis, mammo |
17 |
16 |
$734.57 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$573.02 |
| 70450 |
Computed tomography, head or brain; without contrast material |
24 |
12 |
$569.30 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
14 |
$457.10 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$457.10 |