| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
374 |
357 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
187 |
146 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
187 |
146 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
800 |
731 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
42 |
40 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
171 |
167 |
$872.13 |
| 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) |
93 |
82 |
$0.00 |