| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
383 |
315 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,329 |
1,861 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
214 |
178 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,581 |
1,489 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
400 |
332 |
$7K |
| 76642 |
|
205 |
163 |
$3K |
| 74018 |
|
714 |
512 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
76 |
64 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
84 |
51 |
$1K |
| 73560 |
|
246 |
185 |
$906.80 |
| 73221 |
|
18 |
12 |
$705.85 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
28 |
$325.71 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$290.84 |
| 73610 |
|
45 |
41 |
$270.94 |
| 73630 |
|
49 |
43 |
$203.86 |
| 72100 |
|
72 |
53 |
$188.74 |
| 73130 |
|
18 |
13 |
$99.78 |
| 72040 |
|
30 |
27 |
$25.49 |
| 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) |
442 |
348 |
$0.00 |