| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
379 |
345 |
$37K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
37 |
30 |
$16K |
| 76641 |
|
35 |
29 |
$3K |
| 93976 |
|
18 |
16 |
$2K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
32 |
28 |
$2K |
| 76830 |
Ultrasound, transvaginal |
18 |
15 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
119 |
91 |
$52.98 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
16 |
13 |
$1.77 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
352 |
320 |
$0.00 |
| 7025F |
|
145 |
130 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
339 |
267 |
$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) |
685 |
543 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
32 |
30 |
$0.00 |