| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
146 |
136 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
210 |
181 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
481 |
440 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,115 |
785 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
47 |
45 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
28 |
$707.86 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
28 |
$619.45 |
| 74018 |
|
83 |
72 |
$478.15 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$413.57 |
| 73564 |
|
43 |
42 |
$390.96 |
| 73610 |
|
46 |
45 |
$296.89 |
| 73630 |
|
42 |
41 |
$262.56 |
| 74022 |
|
20 |
16 |
$187.23 |
| 73130 |
|
14 |
12 |
$71.26 |
| 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) |
285 |
228 |
$0.00 |