| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,702 |
1,614 |
$85K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,964 |
2,791 |
$51K |
| 71045 |
Radiologic examination, chest; single view |
15,066 |
11,770 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,095 |
1,043 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
4,377 |
4,246 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
427 |
393 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
511 |
465 |
$11K |
| 74018 |
|
755 |
688 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
148 |
113 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
210 |
206 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
120 |
118 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
223 |
219 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
54 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
39 |
$826.72 |
| 76770 |
|
65 |
64 |
$685.75 |
| 73630 |
|
98 |
88 |
$483.87 |
| 73130 |
|
101 |
84 |
$466.25 |
| 73610 |
|
80 |
74 |
$460.93 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$251.38 |
| 76820 |
|
16 |
12 |
$183.34 |
| 72082 |
|
14 |
14 |
$135.81 |
| 76937 |
|
12 |
12 |
$32.88 |
| 36410 |
|
12 |
12 |
$21.66 |
| 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) |
2,562 |
2,092 |
$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 |
13 |
12 |
$0.00 |
| 7025F |
|
12 |
12 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
1,000 |
904 |
$0.00 |