| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
165 |
144 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
253 |
195 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
833 |
684 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
130 |
107 |
$4K |
| 73630 |
|
118 |
101 |
$676.15 |
| 73564 |
|
90 |
71 |
$538.71 |
| 73610 |
|
74 |
65 |
$406.86 |
| 71045 |
Radiologic examination, chest; single view |
82 |
61 |
$274.20 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$202.17 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
22 |
13 |
$190.96 |
| 73030 |
|
16 |
12 |
$79.24 |
| 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) |
43 |
27 |
$0.00 |