| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
40 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
107 |
84 |
$626.22 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17 |
17 |
$371.61 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
16 |
$226.52 |
| 73610 |
|
16 |
16 |
$93.08 |
| 73630 |
|
17 |
13 |
$89.85 |
| 73110 |
|
13 |
12 |
$50.20 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$46.27 |
| 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) |
25 |
19 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
18 |
15 |
$0.00 |