| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,094 |
961 |
$53K |
| 70450 |
Computed tomography, head or brain; without contrast material |
595 |
560 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
4,868 |
4,618 |
$36K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,030 |
897 |
$27K |
| 73630 |
|
1,682 |
1,462 |
$21K |
| 73610 |
|
1,095 |
962 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
362 |
342 |
$15K |
| 74018 |
|
2,308 |
2,072 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,918 |
3,391 |
$14K |
| 73130 |
|
1,127 |
952 |
$13K |
| 73110 |
|
863 |
752 |
$13K |
| 72100 |
|
748 |
725 |
$12K |
| 76642 |
|
359 |
275 |
$10K |
| 73030 |
|
436 |
396 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
156 |
150 |
$4K |
| 73560 |
|
262 |
219 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
61 |
59 |
$3K |
| 73562 |
|
181 |
158 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
78 |
78 |
$2K |
| 73140 |
|
207 |
165 |
$2K |
| 73080 |
|
94 |
81 |
$1K |
| 76770 |
|
26 |
25 |
$1K |
| 74230 |
|
60 |
52 |
$936.14 |
| 77066 |
Tomosynthesis, mammo |
17 |
13 |
$659.94 |
| 73590 |
|
52 |
48 |
$604.12 |
| 77065 |
Tomosynthesis, mammo |
17 |
14 |
$570.08 |
| 72082 |
|
30 |
28 |
$490.86 |
| 73502 |
|
41 |
41 |
$482.88 |
| 73090 |
|
47 |
43 |
$461.36 |
| 72040 |
|
16 |
15 |
$304.14 |
| 72170 |
|
23 |
13 |
$181.16 |
| 77080 |
|
13 |
13 |
$128.02 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
139 |
131 |
$0.00 |
| 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) |
330 |
315 |
$0.00 |
| 7025F |
|
28 |
28 |
$0.00 |