| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
365 |
365 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
345 |
345 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
98 |
98 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
285 |
280 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
351 |
327 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
28 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
28 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
52 |
51 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
35 |
32 |
$935.00 |
| 73630 |
|
76 |
73 |
$677.59 |
| 73610 |
|
13 |
12 |
$132.39 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
99 |
97 |
$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) |
359 |
352 |
$0.00 |
| 7025F |
|
158 |
158 |
$0.00 |
| 3341F |
|
13 |
13 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
60 |
59 |
$0.00 |