| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
686 |
617 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
522 |
484 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
1,896 |
1,528 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
858 |
804 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
129 |
112 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
100 |
99 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
83 |
82 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
21 |
$956.87 |
| 73630 |
|
93 |
84 |
$946.02 |
| 74018 |
|
168 |
146 |
$649.88 |
| 73610 |
|
41 |
39 |
$567.79 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
17 |
$361.37 |
| 73564 |
|
12 |
12 |
$188.70 |
| 72100 |
|
14 |
14 |
$176.58 |
| 73030 |
|
14 |
13 |
$137.01 |
| 73130 |
|
14 |
12 |
$117.60 |
| 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) |
156 |
118 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
17 |
12 |
$0.00 |