| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
657 |
634 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
4,187 |
3,539 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
661 |
634 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
2,088 |
2,005 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
88 |
88 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
36 |
$744.67 |
| 73630 |
|
87 |
78 |
$435.30 |
| 73610 |
|
66 |
60 |
$326.90 |
| 76857 |
|
14 |
12 |
$233.08 |
| 73030 |
|
30 |
28 |
$135.52 |
| 72020 |
|
26 |
25 |
$111.09 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
87 |
87 |
$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) |
639 |
475 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
643 |
476 |
$0.00 |