| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
12 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$547.18 |
| 71046 |
Radiologic examination, chest; 2 views |
21 |
21 |
$499.55 |
| 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) |
116 |
86 |
$0.00 |
| 7025F |
|
17 |
13 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
64 |
56 |
$0.00 |