| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
764 |
711 |
$46K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
787 |
741 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
2,882 |
2,520 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,363 |
1,303 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
233 |
191 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
193 |
152 |
$4K |
| 76642 |
|
49 |
24 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
24 |
$808.64 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
26 |
13 |
$778.96 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$428.49 |
| 73610 |
|
27 |
26 |
$374.92 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
14 |
$251.90 |
| 73630 |
|
14 |
13 |
$154.10 |
| 74018 |
|
32 |
30 |
$109.87 |