| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
111 |
95 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
81 |
65 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
163 |
136 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
237 |
150 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18 |
13 |
$486.60 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$460.92 |
| 73630 |
|
14 |
12 |
$60.36 |
| 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) |
18 |
13 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
18 |
13 |
$0.00 |