| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
2,751 |
2,164 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,759 |
2,151 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
233 |
203 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
192 |
161 |
$4K |
| 72100 |
|
124 |
95 |
$856.88 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
43 |
27 |
$730.00 |
| 73630 |
|
62 |
52 |
$397.07 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
44 |
27 |
$356.31 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$248.25 |
| 74018 |
|
75 |
52 |
$228.54 |
| 73610 |
|
30 |
27 |
$197.42 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
98 |
81 |
$0.00 |