| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
816 |
637 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
282 |
260 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
366 |
330 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
659 |
490 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,092 |
934 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
473 |
429 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
88 |
67 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$428.18 |