| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
2,249 |
2,216 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
505 |
505 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
517 |
517 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
180 |
178 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
153 |
153 |
$3K |
| 76830 |
Ultrasound, transvaginal |
124 |
123 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
95 |
95 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
38 |
37 |
$981.02 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$756.72 |
| 73564 |
|
33 |
27 |
$298.19 |
| 73630 |
|
50 |
46 |
$277.81 |
| 72110 |
|
13 |
13 |
$143.70 |
| 73610 |
|
26 |
26 |
$121.18 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
231 |
223 |
$0.00 |
| G9638 |
Final reports without 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) |
12 |
12 |
$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) |
505 |
494 |
$0.00 |