| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
9,511 |
7,391 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,425 |
1,202 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
448 |
368 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
360 |
327 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
199 |
175 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
669 |
575 |
$3K |
| 76641 |
|
70 |
52 |
$871.18 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
46 |
41 |
$851.03 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
56 |
52 |
$553.40 |
| 73630 |
|
127 |
104 |
$473.30 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
218 |
193 |
$435.42 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
31 |
28 |
$368.89 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
28 |
$303.46 |
| 74018 |
|
64 |
51 |
$284.82 |
| 73130 |
|
76 |
58 |
$275.50 |
| 73562 |
|
51 |
42 |
$255.59 |
| 73030 |
|
31 |
25 |
$166.55 |
| 73110 |
|
15 |
14 |
$86.94 |
| 71250 |
|
16 |
12 |
$38.14 |
| 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) |
16 |
13 |
$0.00 |