| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
372 |
338 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
967 |
885 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,496 |
1,393 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,795 |
1,971 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
164 |
157 |
$6K |
| 76376 |
|
1,720 |
1,307 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
175 |
158 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
73 |
68 |
$1K |
| 73564 |
|
145 |
109 |
$816.03 |
| 73030 |
|
125 |
107 |
$524.39 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$227.33 |
| 72110 |
|
12 |
12 |
$97.12 |
| 73130 |
|
15 |
14 |
$87.80 |
| 73110 |
|
12 |
12 |
$71.81 |
| 73610 |
|
14 |
13 |
$59.81 |
| 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) |
40 |
34 |
$0.00 |