| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,329 |
1,196 |
$45K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,405 |
1,276 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
3,635 |
3,352 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
3,906 |
3,293 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
69 |
65 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
41 |
40 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
57 |
54 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
66 |
66 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
53 |
53 |
$1K |
| 73630 |
|
166 |
150 |
$889.11 |
| 74022 |
|
28 |
26 |
$301.11 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$190.85 |
| 73130 |
|
34 |
27 |
$187.42 |
| 72100 |
|
14 |
13 |
$109.74 |
| 73562 |
|
15 |
13 |
$96.98 |
| 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) |
93 |
65 |
$0.00 |