| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
10,586 |
10,485 |
$65K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,693 |
2,678 |
$63K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,145 |
1,132 |
$56K |
| 71045 |
Radiologic examination, chest; single view |
10,660 |
9,666 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,488 |
2,455 |
$41K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,116 |
1,104 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
223 |
219 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$640.30 |
| 93975 |
|
12 |
12 |
$445.30 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$318.84 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$241.45 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
14 |
$240.96 |
| 73630 |
|
46 |
42 |
$178.41 |
| 76642 |
|
13 |
12 |
$139.25 |
| 74019 |
|
12 |
12 |
$83.16 |
| 73610 |
|
16 |
15 |
$82.25 |
| 74018 |
|
16 |
14 |
$53.15 |
| 77080 |
|
14 |
14 |
$26.43 |
| 99152 |
|
14 |
13 |
$22.99 |
| 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) |
53 |
46 |
$0.00 |