| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,527 |
1,399 |
$82K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,828 |
1,598 |
$37K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
731 |
660 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
5,595 |
4,974 |
$34K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
872 |
823 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
801 |
739 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,038 |
2,572 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
706 |
628 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
105 |
98 |
$5K |
| 76642 |
|
147 |
128 |
$3K |
| 72100 |
|
275 |
240 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
62 |
56 |
$1K |
| 93971 |
|
84 |
76 |
$957.59 |
| 73610 |
|
165 |
151 |
$944.36 |
| 73630 |
|
159 |
146 |
$876.89 |
| 93976 |
|
27 |
26 |
$865.24 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
42 |
41 |
$748.38 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$632.47 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$567.37 |
| 76770 |
|
25 |
25 |
$547.72 |
| 71271 |
|
12 |
12 |
$518.80 |
| 72141 |
|
13 |
12 |
$465.60 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
14 |
$441.02 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$374.53 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
18 |
16 |
$351.14 |
| 73502 |
|
65 |
54 |
$349.20 |
| 73030 |
|
57 |
51 |
$288.22 |
| 76536 |
|
15 |
12 |
$257.95 |
| 73110 |
|
29 |
29 |
$202.10 |
| 74018 |
|
38 |
24 |
$177.50 |
| 73130 |
|
27 |
24 |
$154.08 |
| 73564 |
|
13 |
13 |
$108.31 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
712 |
667 |
$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) |
3,155 |
2,458 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
225 |
210 |
$0.00 |