| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
118 |
118 |
$13K |
| 76642 |
|
88 |
79 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
118 |
118 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
131 |
131 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$566.76 |
| 71045 |
Radiologic examination, chest; single view |
22 |
17 |
$116.67 |
| 73562 |
|
12 |
12 |
$114.50 |
| 73030 |
|
12 |
12 |
$109.72 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
20 |
17 |
$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) |
28 |
25 |
$0.00 |