| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,303 |
1,205 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
96 |
95 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
82 |
81 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
111 |
98 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
384 |
356 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
107 |
98 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
17 |
12 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$844.58 |
| 77065 |
Tomosynthesis, mammo |
22 |
14 |
$488.80 |
| 76642 |
|
21 |
12 |
$397.43 |
| 71250 |
|
12 |
12 |
$303.24 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
16 |
16 |
$255.27 |
| 72100 |
|
13 |
13 |
$143.62 |
| 74018 |
|
14 |
14 |
$60.94 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
68 |
64 |
$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) |
185 |
167 |
$0.00 |