| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
2,996 |
2,646 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
303 |
291 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
551 |
513 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
374 |
331 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
26 |
$766.50 |
| 73630 |
|
134 |
128 |
$725.01 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
26 |
$610.00 |
| 73610 |
|
83 |
80 |
$512.89 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$467.27 |
| 73562 |
|
72 |
67 |
$420.15 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$387.59 |
| 76830 |
Ultrasound, transvaginal |
16 |
14 |
$332.63 |
| 72100 |
|
51 |
50 |
$306.20 |
| 73030 |
|
52 |
49 |
$279.83 |
| 73130 |
|
45 |
42 |
$264.03 |
| 74018 |
|
14 |
14 |
$92.18 |
| 73110 |
|
13 |
13 |
$92.17 |
| 73502 |
|
12 |
12 |
$64.34 |
| 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) |
129 |
99 |
$0.00 |