| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
279 |
247 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
65 |
55 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
158 |
154 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
940 |
843 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
116 |
100 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
158 |
135 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
73 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
604 |
458 |
$2K |
| 73221 |
|
13 |
13 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
43 |
$1K |
| 78454 |
|
83 |
82 |
$1K |
| 73030 |
|
163 |
151 |
$1K |
| 76830 |
Ultrasound, transvaginal |
40 |
35 |
$1K |
| 73630 |
|
127 |
110 |
$1K |
| 73130 |
|
125 |
106 |
$1K |
| 73610 |
|
77 |
68 |
$1K |
| 73564 |
|
84 |
66 |
$775.38 |
| 73562 |
|
73 |
50 |
$627.52 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
15 |
$615.22 |
| 73560 |
|
65 |
56 |
$598.81 |
| 74018 |
|
157 |
133 |
$547.98 |
| 76770 |
|
18 |
15 |
$397.95 |
| 73502 |
|
72 |
71 |
$327.12 |
| 72110 |
|
15 |
13 |
$239.98 |
| 73110 |
|
15 |
13 |
$212.10 |
| 72100 |
|
12 |
12 |
$136.85 |
| 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) |
351 |
291 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
278 |
244 |
$0.00 |