| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
667 |
620 |
$26K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
546 |
502 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
276 |
252 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,737 |
1,395 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
952 |
874 |
$5K |
| 73630 |
|
508 |
412 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
42 |
38 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
26 |
$1K |
| 73610 |
|
60 |
38 |
$800.50 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
18 |
12 |
$742.08 |
| 73130 |
|
67 |
51 |
$578.78 |
| 73562 |
|
56 |
35 |
$461.87 |
| 73030 |
|
48 |
39 |
$423.48 |
| 73564 |
|
34 |
28 |
$382.98 |
| 74018 |
|
44 |
34 |
$192.50 |
| 73110 |
|
17 |
14 |
$169.90 |
| 73502 |
|
13 |
12 |
$87.09 |