| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
207 |
186 |
$379.09 |
| 71046 |
Radiologic examination, chest; 2 views |
45 |
44 |
$239.43 |
| 70450 |
Computed tomography, head or brain; without contrast material |
42 |
40 |
$189.75 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$2.65 |
| G9638 |
Final reports without 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) |
121 |
96 |
$0.00 |
| 3340F |
|
13 |
13 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
69 |
69 |
$0.00 |
| 7025F |
|
54 |
54 |
$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) |
16 |
13 |
$0.00 |