| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
497 |
409 |
$73K |
| 70450 |
Computed tomography, head or brain; without contrast material |
442 |
425 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
434 |
414 |
$17K |
| 73221 |
|
60 |
55 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,312 |
1,188 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,305 |
2,012 |
$8K |
| 73630 |
|
335 |
314 |
$4K |
| 73030 |
|
201 |
185 |
$2K |
| 73610 |
|
120 |
116 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
72 |
65 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
30 |
15 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
44 |
43 |
$1K |
| 74018 |
|
177 |
161 |
$1K |
| 71250 |
|
41 |
39 |
$634.81 |
| 73110 |
|
43 |
43 |
$555.31 |
| 73130 |
|
40 |
31 |
$455.00 |
| 72100 |
|
28 |
27 |
$391.88 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
12 |
$383.25 |
| 73502 |
|
41 |
40 |
$205.98 |
| 73562 |
|
15 |
15 |
$196.16 |
| 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) |
554 |
461 |
$0.00 |
| 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 |
75 |
69 |
$0.00 |