| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
296 |
267 |
$15K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
377 |
351 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
44 |
42 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,173 |
1,008 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
429 |
393 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
46 |
43 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
36 |
36 |
$817.92 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$772.97 |
| 73630 |
|
69 |
65 |
$690.56 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
36 |
36 |
$646.92 |
| 73610 |
|
39 |
38 |
$521.83 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
28 |
$511.68 |
| 71250 |
|
12 |
12 |
$374.42 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$222.00 |
| 73030 |
|
14 |
12 |
$80.18 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
15 |
15 |
$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) |
440 |
380 |
$0.00 |