| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
662 |
662 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
663 |
663 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
2,379 |
2,033 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,155 |
1,134 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
219 |
211 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
92 |
89 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
192 |
192 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
87 |
87 |
$5K |
| 76830 |
Ultrasound, transvaginal |
135 |
135 |
$4K |
| 76536 |
|
24 |
24 |
$570.46 |