| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
3,174 |
2,968 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
370 |
355 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
4,130 |
3,330 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
956 |
902 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
247 |
187 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
158 |
154 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
180 |
98 |
$5K |
| 74018 |
|
1,122 |
963 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
394 |
365 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
106 |
98 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
149 |
132 |
$3K |
| 74019 |
|
515 |
476 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
70 |
70 |
$3K |
| 73564 |
|
303 |
275 |
$2K |
| 76770 |
|
132 |
129 |
$1K |
| 72110 |
|
122 |
115 |
$1K |
| 73030 |
|
165 |
152 |
$720.85 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
24 |
24 |
$703.06 |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$647.14 |
| 93970 |
|
39 |
38 |
$456.50 |
| 73502 |
|
75 |
74 |
$440.63 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$438.06 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$241.31 |
| 73630 |
|
38 |
38 |
$196.77 |
| 73610 |
|
38 |
37 |
$194.10 |
| 93880 |
|
14 |
14 |
$148.61 |
| 72050 |
|
24 |
24 |
$133.14 |
| 76775 |
|
13 |
12 |
$125.69 |
| 73110 |
|
12 |
12 |
$48.94 |
| 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) |
1,149 |
1,046 |
$0.00 |