| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
213 |
205 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
310 |
277 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
112 |
110 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
311 |
278 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,608 |
1,362 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
429 |
411 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
61 |
55 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$1K |
| 76642 |
|
17 |
13 |
$457.82 |
| 76641 |
|
15 |
15 |
$300.65 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$175.08 |
| 76376 |
|
27 |
26 |
$94.54 |