| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
335 |
334 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
125 |
124 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
288 |
287 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
676 |
659 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
65 |
65 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
98 |
98 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
282 |
281 |
$2K |
| 73630 |
|
13 |
13 |
$107.25 |
| 74018 |
|
16 |
16 |
$80.09 |
| G9638 |
Final reports without 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) |
734 |
718 |
$0.00 |
| 7025F |
|
15 |
15 |
$0.00 |