| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
3,514 |
2,420 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
198 |
198 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
742 |
737 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
573 |
573 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
86 |
85 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
573 |
573 |
$931.03 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
51 |
51 |
$694.87 |
| 71250 |
|
122 |
121 |
$629.99 |
| 71271 |
|
40 |
40 |
$446.55 |
| 73564 |
|
46 |
36 |
$125.49 |
| 93971 |
|
26 |
26 |
$112.07 |
| 73030 |
|
54 |
48 |
$105.82 |
| 77080 |
|
172 |
172 |
$91.47 |
| 73502 |
|
28 |
28 |
$66.83 |
| 73630 |
|
17 |
13 |
$52.62 |
| 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) |
57 |
46 |
$0.00 |