| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
426 |
392 |
$28K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
296 |
288 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
420 |
352 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
419 |
351 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,087 |
947 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
585 |
575 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
72 |
66 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
25 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
23 |
14 |
$983.47 |
| 76642 |
|
32 |
25 |
$749.19 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
19 |
15 |
$591.28 |
| 73630 |
|
25 |
25 |
$270.49 |
| 72110 |
|
14 |
13 |
$265.30 |
| 74018 |
|
40 |
37 |
$160.66 |
| 73030 |
|
12 |
12 |
$124.05 |