| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
390 |
348 |
$25K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
269 |
264 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
906 |
871 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
91 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,238 |
997 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
187 |
181 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
167 |
162 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
38 |
$1K |
| 76830 |
Ultrasound, transvaginal |
27 |
26 |
$846.57 |
| 76770 |
|
24 |
24 |
$566.53 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$454.86 |
| 74018 |
|
145 |
125 |
$450.34 |
| 73030 |
|
14 |
13 |
$130.87 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
231 |
214 |
$0.00 |
| 3342F |
|
13 |
13 |
$0.00 |
| G9638 |
Final reports without 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) |
16 |
14 |
$0.00 |
| 7025F |
|
70 |
70 |
$0.00 |
| 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) |
352 |
305 |
$0.00 |
| 3341F |
|
19 |
19 |
$0.00 |