| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
185 |
180 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
112 |
100 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
206 |
191 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
49 |
47 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
20 |
17 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$358.88 |
| 71045 |
Radiologic examination, chest; single view |
43 |
37 |
$268.32 |