| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,839 |
1,808 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
3,255 |
2,859 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
299 |
297 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
711 |
680 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
126 |
125 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
126 |
124 |
$2K |
| 76641 |
|
66 |
65 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
62 |
62 |
$829.49 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
56 |
55 |
$798.58 |
| 73630 |
|
140 |
123 |
$407.76 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
28 |
$335.52 |
| 71250 |
|
24 |
24 |
$327.42 |
| 73030 |
|
49 |
48 |
$221.82 |
| 74018 |
|
79 |
61 |
$211.77 |
| 73502 |
|
66 |
65 |
$157.46 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$150.30 |
| 93971 |
|
13 |
13 |
$125.87 |
| 76775 |
|
13 |
13 |
$112.65 |
| 73610 |
|
14 |
14 |
$68.30 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
2,305 |
2,174 |
$0.00 |