| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
435 |
383 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
388 |
358 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,591 |
1,218 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
851 |
760 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
88 |
77 |
$2K |
| 73630 |
|
114 |
110 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
52 |
51 |
$931.01 |
| 74018 |
|
168 |
139 |
$697.16 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
13 |
$633.24 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$274.30 |
| 72110 |
|
13 |
13 |
$227.95 |
| 73610 |
|
15 |
13 |
$202.61 |
| 73030 |
|
15 |
12 |
$140.60 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
52 |
50 |
$0.00 |
| 3342F |
|
12 |
12 |
$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) |
139 |
119 |
$0.00 |
| 7025F |
|
12 |
12 |
$0.00 |