| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
9,037 |
7,658 |
$46K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
394 |
372 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
787 |
756 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,906 |
2,813 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
156 |
156 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
156 |
156 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
66 |
65 |
$4K |
| 74018 |
|
252 |
229 |
$1K |
| 73630 |
|
206 |
188 |
$1K |
| 76536 |
|
60 |
60 |
$1K |
| 74019 |
|
132 |
123 |
$901.28 |
| 72110 |
|
54 |
54 |
$675.82 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
25 |
$553.70 |
| 71250 |
|
14 |
12 |
$444.75 |
| 73030 |
|
44 |
29 |
$280.79 |
| 73564 |
|
28 |
26 |
$241.10 |
| 71020 |
|
29 |
27 |
$167.73 |
| 73130 |
|
16 |
13 |
$132.05 |
| 73610 |
|
14 |
12 |
$99.89 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
89 |
81 |
$0.00 |