| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
375 |
358 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
611 |
531 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,343 |
2,177 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
590 |
513 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
173 |
165 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,455 |
1,294 |
$6K |
| 73562 |
|
442 |
345 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
82 |
65 |
$2K |
| 76642 |
|
80 |
67 |
$2K |
| 73030 |
|
96 |
92 |
$1K |
| 73130 |
|
98 |
73 |
$994.18 |
| 73630 |
|
96 |
89 |
$992.77 |
| 72100 |
|
50 |
47 |
$608.27 |
| 74018 |
|
94 |
81 |
$430.87 |
| 73610 |
|
34 |
30 |
$417.93 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$271.08 |
| 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) |
67 |
60 |
$0.00 |