| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
411 |
392 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
52 |
50 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
50 |
48 |
$1K |
| 76642 |
|
46 |
44 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
500 |
426 |
$1K |
| 77066 |
Tomosynthesis, mammo |
19 |
17 |
$657.28 |
| 72110 |
|
110 |
103 |
$642.99 |
| 70450 |
Computed tomography, head or brain; without contrast material |
38 |
31 |
$548.16 |
| 74018 |
|
38 |
37 |
$177.74 |
| 72100 |
|
31 |
29 |
$158.84 |
| 73630 |
|
16 |
14 |
$90.69 |
| 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) |
45 |
37 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
45 |
37 |
$0.00 |