| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
5,628 |
5,318 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
398 |
391 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,265 |
2,197 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
355 |
339 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
137 |
136 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
132 |
131 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
41 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
38 |
37 |
$748.06 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$567.58 |
| 73630 |
|
84 |
76 |
$514.93 |
| 72100 |
|
65 |
65 |
$396.30 |
| 73562 |
|
50 |
41 |
$291.84 |
| 73030 |
|
60 |
55 |
$271.66 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$207.40 |
| 73130 |
|
13 |
12 |
$111.15 |
| 73610 |
|
13 |
13 |
$107.90 |
| G9638 |
Final reports without 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) |
45 |
37 |
$0.00 |