| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
399 |
398 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
379 |
378 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
72 |
72 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
118 |
118 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
116 |
107 |
$778.65 |
| 70450 |
Computed tomography, head or brain; without contrast material |
16 |
15 |
$657.83 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$620.68 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
14 |
$467.50 |
| 73630 |
|
22 |
22 |
$202.19 |
| 73610 |
|
15 |
14 |
$143.64 |
| 7025F |
|
214 |
213 |
$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) |
322 |
315 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
13 |
13 |
$0.00 |
| 3342F |
|
18 |
18 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
73 |
73 |
$0.00 |