| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
500 |
458 |
$35K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
632 |
535 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
292 |
275 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
564 |
475 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,636 |
1,397 |
$7K |
| 76376 |
|
489 |
463 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
550 |
519 |
$3K |
| 76642 |
|
125 |
98 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
75 |
68 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
41 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
25 |
$1K |
| 77066 |
Tomosynthesis, mammo |
17 |
12 |
$593.57 |
| 77065 |
Tomosynthesis, mammo |
16 |
12 |
$534.83 |