| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
65 |
65 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
17 |
17 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$832.18 |
| 71046 |
Radiologic examination, chest; 2 views |
73 |
73 |
$654.79 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
16 |
16 |
$392.54 |
| 71045 |
Radiologic examination, chest; single view |
29 |
28 |
$214.25 |