| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
88 |
79 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
852 |
765 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
394 |
387 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
100 |
96 |
$1K |
| 72110 |
|
222 |
210 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
25 |
25 |
$611.29 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$461.79 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$434.60 |
| 76642 |
|
12 |
12 |
$203.64 |
| 72100 |
|
38 |
37 |
$197.43 |
| 72050 |
|
16 |
14 |
$95.01 |
| 74018 |
|
16 |
15 |
$42.16 |
| 73030 |
|
12 |
12 |
$41.68 |
| 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 |
83 |
71 |
$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) |
82 |
70 |
$0.00 |