| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
905 |
889 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,282 |
1,152 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
64 |
64 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
158 |
158 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
76 |
76 |
$2K |
| 76641 |
|
16 |
15 |
$502.33 |
| 76536 |
|
26 |
26 |
$425.49 |
| 73630 |
|
68 |
65 |
$404.93 |
| 73610 |
|
40 |
37 |
$282.88 |
| 74018 |
|
40 |
34 |
$204.31 |
| 73030 |
|
16 |
16 |
$90.92 |
| 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) |
236 |
231 |
$0.00 |