| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
672 |
634 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
670 |
630 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
2,748 |
2,213 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,132 |
1,051 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
169 |
141 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
155 |
127 |
$3K |
| 73630 |
|
197 |
186 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
50 |
49 |
$2K |
| 74018 |
|
304 |
247 |
$1K |
| 73610 |
|
54 |
50 |
$864.96 |
| 76830 |
Ultrasound, transvaginal |
26 |
24 |
$840.33 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
19 |
12 |
$749.43 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
22 |
13 |
$747.26 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
24 |
$689.95 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
24 |
24 |
$383.76 |
| 72100 |
|
27 |
27 |
$350.93 |
| 73562 |
|
14 |
12 |
$166.95 |
| 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) |
138 |
116 |
$0.00 |