| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
651 |
651 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
651 |
651 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
110 |
109 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
904 |
782 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
275 |
273 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
61 |
61 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$673.57 |