| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
189 |
184 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
94 |
79 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
342 |
303 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
208 |
158 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
26 |
25 |
$1K |
| 73564 |
|
188 |
139 |
$1K |
| 76830 |
Ultrasound, transvaginal |
28 |
28 |
$916.25 |
| 70450 |
Computed tomography, head or brain; without contrast material |
32 |
24 |
$887.97 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
26 |
$678.87 |
| 73030 |
|
74 |
69 |
$421.09 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$395.32 |
| 93971 |
|
12 |
12 |
$171.10 |
| 73610 |
|
15 |
14 |
$82.08 |
| 73630 |
|
12 |
12 |
$59.04 |
| 73130 |
|
15 |
12 |
$50.82 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
186 |
181 |
$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) |
20 |
20 |
$0.00 |