| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
131 |
128 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
687 |
596 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
255 |
244 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
85 |
83 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
206 |
154 |
$764.36 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
48 |
42 |
$390.45 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$372.34 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$163.22 |
| 73030 |
|
26 |
25 |
$141.11 |
| 73610 |
|
29 |
24 |
$133.08 |
| 74018 |
|
29 |
29 |
$105.39 |
| 74022 |
|
13 |
12 |
$80.95 |
| 73110 |
|
13 |
12 |
$53.63 |
| 73630 |
|
12 |
12 |
$51.08 |
| 7025F |
|
75 |
75 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
14 |
12 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
128 |
123 |
$0.00 |
| 3342F |
|
14 |
14 |
$0.00 |