| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,553 |
1,479 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
10,471 |
8,955 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
498 |
484 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,490 |
2,441 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
322 |
310 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
393 |
385 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
328 |
320 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
99 |
99 |
$2K |
| 76830 |
Ultrasound, transvaginal |
57 |
57 |
$1K |
| 76801 |
|
62 |
55 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
26 |
$768.56 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$455.40 |
| 76642 |
|
16 |
14 |
$201.20 |
| 73030 |
|
14 |
12 |
$55.86 |
| 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) |
5,822 |
5,539 |
$0.00 |
| 7025F |
|
49 |
49 |
$0.00 |