| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
373 |
319 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
689 |
578 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,346 |
1,623 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
277 |
210 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
841 |
682 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
698 |
584 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
128 |
118 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
82 |
66 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
41 |
$1K |
| 76801 |
|
19 |
18 |
$590.91 |
| 73630 |
|
72 |
55 |
$326.59 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$310.80 |
| 73560 |
|
74 |
62 |
$300.75 |
| 73130 |
|
21 |
16 |
$113.76 |
| 73030 |
|
15 |
13 |
$85.46 |
| 73610 |
|
14 |
13 |
$76.56 |
| 77080 |
|
15 |
13 |
$36.99 |
| 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) |
103 |
69 |
$0.00 |