| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,007 |
936 |
$57K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
322 |
312 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
3,344 |
2,871 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,135 |
1,080 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
45 |
34 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
52 |
52 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
45 |
34 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
30 |
$804.86 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
17 |
13 |
$441.53 |
| 99152 |
|
56 |
51 |
$326.97 |
| 73630 |
|
13 |
13 |
$103.34 |
| 76376 |
|
12 |
12 |
$74.16 |