| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
97 |
96 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
26 |
$869.12 |
| 71045 |
Radiologic examination, chest; single view |
250 |
227 |
$494.60 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
22 |
13 |
$350.96 |
| 76642 |
|
16 |
15 |
$268.60 |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
25 |
$214.84 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$131.46 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$40.06 |
| 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) |
310 |
267 |
$0.00 |
| 3341F |
|
107 |
98 |
$0.00 |
| 7025F |
|
96 |
95 |
$0.00 |
| 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 |
319 |
272 |
$0.00 |