| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
542 |
499 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,242 |
1,098 |
$30K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,151 |
1,011 |
$23K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
573 |
451 |
$12K |
| 76642 |
|
534 |
419 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
189 |
169 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,870 |
1,568 |
$7K |
| 77066 |
Tomosynthesis, mammo |
106 |
79 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
582 |
552 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
48 |
46 |
$2K |
| 77065 |
Tomosynthesis, mammo |
82 |
58 |
$2K |
| 73630 |
|
17 |
12 |
$177.13 |