| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
64 |
61 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
142 |
141 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
45 |
43 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
114 |
113 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
373 |
337 |
$1K |
| 76642 |
|
62 |
52 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
151 |
125 |
$876.23 |
| 77066 |
Tomosynthesis, mammo |
35 |
31 |
$843.36 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$412.72 |
| 76536 |
|
16 |
15 |
$402.39 |
| 77065 |
Tomosynthesis, mammo |
18 |
16 |
$321.90 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
17 |
17 |
$236.70 |
| 73130 |
|
16 |
14 |
$140.42 |
| 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) |
36 |
33 |
$0.00 |
| 7025F |
|
59 |
58 |
$0.00 |