| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
215 |
214 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
108 |
107 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
85 |
82 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
272 |
251 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
173 |
169 |
$1K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$770.75 |
| 73630 |
|
96 |
75 |
$660.62 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$635.06 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$343.54 |
| 72100 |
|
12 |
12 |
$113.80 |
| 73610 |
|
15 |
14 |
$111.49 |
| 73562 |
|
17 |
12 |
$107.91 |
| 73560 |
|
16 |
14 |
$80.96 |
| 7025F |
|
216 |
215 |
$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) |
256 |
219 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
201 |
189 |
$0.00 |
| 3342F |
|
161 |
161 |
$0.00 |