| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
158 |
41 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
470 |
186 |
$451.73 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
158 |
41 |
$385.44 |
| 71046 |
Radiologic examination, chest; 2 views |
756 |
161 |
$26.61 |
| 70450 |
Computed tomography, head or brain; without contrast material |
177 |
39 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
112 |
24 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
61 |
12 |
$0.00 |