| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
654 |
608 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
956 |
768 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
172 |
161 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
24 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$702.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$353.98 |
| 74018 |
|
36 |
31 |
$219.69 |
| 73030 |
|
12 |
12 |
$66.76 |
| 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) |
117 |
100 |
$1.55 |