| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
722 |
664 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,543 |
1,428 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,117 |
1,041 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
2,245 |
2,035 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
468 |
405 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,858 |
1,497 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
83 |
53 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
113 |
107 |
$1K |
| 76830 |
Ultrasound, transvaginal |
66 |
60 |
$1K |
| 73610 |
|
200 |
174 |
$895.34 |
| 73562 |
|
211 |
162 |
$637.08 |
| 73502 |
|
165 |
139 |
$636.29 |
| 73030 |
|
159 |
136 |
$573.32 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
13 |
$377.21 |
| 73630 |
|
84 |
78 |
$367.45 |
| 73110 |
|
78 |
63 |
$322.88 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
12 |
$303.61 |
| 76642 |
|
13 |
12 |
$181.54 |
| 72100 |
|
15 |
13 |
$73.96 |
| 73130 |
|
15 |
13 |
$61.18 |
| 77080 |
|
14 |
12 |
$28.31 |
| 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) |
773 |
683 |
$0.00 |
| 7025F |
|
155 |
153 |
$0.00 |
| 3341F |
|
116 |
113 |
$0.00 |