| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
286 |
239 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
445 |
369 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,303 |
1,096 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
49 |
47 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
87 |
83 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
506 |
369 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
46 |
38 |
$844.46 |
| 76830 |
Ultrasound, transvaginal |
27 |
26 |
$784.70 |
| 73610 |
|
89 |
87 |
$636.01 |
| 73630 |
|
97 |
91 |
$608.38 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
24 |
$600.49 |
| 73562 |
|
65 |
54 |
$451.70 |
| 93971 |
|
28 |
25 |
$443.47 |
| 73110 |
|
33 |
27 |
$192.57 |
| 73130 |
|
26 |
24 |
$156.62 |
| 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) |
223 |
133 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
19 |
12 |
$0.00 |