| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
252 |
230 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
192 |
168 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,290 |
1,155 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,248 |
998 |
$4K |
| 73630 |
|
213 |
175 |
$3K |
| 73610 |
|
104 |
93 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
33 |
33 |
$1K |
| 74018 |
|
247 |
193 |
$1K |
| 73110 |
|
69 |
57 |
$1K |
| 72100 |
|
72 |
63 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
32 |
32 |
$717.74 |
| 73130 |
|
55 |
44 |
$605.41 |
| 73030 |
|
33 |
24 |
$360.99 |
| 76642 |
|
16 |
13 |
$332.96 |
| 73502 |
|
16 |
12 |
$96.69 |
| 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) |
166 |
130 |
$0.00 |