| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,108 |
1,084 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
101 |
95 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
811 |
749 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
111 |
105 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
27 |
$2K |
| 73564 |
|
93 |
91 |
$894.08 |
| 73630 |
|
55 |
54 |
$363.49 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$293.85 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$237.42 |
| 73610 |
|
13 |
12 |
$114.36 |
| 73110 |
|
12 |
12 |
$78.33 |
| 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) |
42 |
28 |
$0.00 |