| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
683 |
528 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
388 |
360 |
$24K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
649 |
494 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,108 |
2,021 |
$15K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
204 |
202 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,970 |
1,822 |
$7K |
| 73630 |
|
226 |
207 |
$3K |
| 74018 |
|
432 |
406 |
$3K |
| 73610 |
|
102 |
97 |
$2K |
| 76642 |
|
73 |
59 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 73110 |
|
73 |
59 |
$1K |
| 73130 |
|
97 |
87 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
22 |
22 |
$861.71 |
| 72100 |
|
53 |
52 |
$783.32 |
| 73030 |
|
44 |
40 |
$585.38 |
| 77066 |
Tomosynthesis, mammo |
15 |
13 |
$567.02 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
18 |
13 |
$447.98 |
| 73564 |
|
17 |
12 |
$234.35 |
| 77080 |
|
12 |
12 |
$42.86 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
75 |
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) |
183 |
172 |
$0.00 |