| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,234 |
2,098 |
$105K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,423 |
1,307 |
$90K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
645 |
607 |
$61K |
| 71046 |
Radiologic examination, chest; 2 views |
2,661 |
2,538 |
$20K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
732 |
722 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
405 |
363 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,928 |
3,231 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
368 |
358 |
$15K |
| 76536 |
|
254 |
241 |
$9K |
| 71250 |
|
236 |
224 |
$8K |
| 76770 |
|
204 |
198 |
$7K |
| 73630 |
|
431 |
410 |
$5K |
| 74018 |
|
792 |
740 |
$5K |
| 74183 |
|
27 |
26 |
$5K |
| 73130 |
|
380 |
356 |
$5K |
| 73110 |
|
225 |
215 |
$4K |
| 73610 |
|
192 |
178 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
102 |
96 |
$3K |
| 73030 |
|
226 |
218 |
$3K |
| 72100 |
|
195 |
192 |
$3K |
| 76830 |
Ultrasound, transvaginal |
33 |
29 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
33 |
$1K |
| 73562 |
|
76 |
74 |
$968.45 |
| 93976 |
|
33 |
30 |
$710.34 |
| 73502 |
|
60 |
55 |
$562.62 |
| 73140 |
|
34 |
29 |
$500.55 |
| 73564 |
|
13 |
13 |
$330.17 |
| 73560 |
|
31 |
27 |
$293.63 |
| 72040 |
|
16 |
16 |
$268.88 |
| 73080 |
|
12 |
12 |
$100.69 |
| 73090 |
|
12 |
12 |
$93.07 |
| 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) |
1,225 |
1,090 |
$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 |
454 |
419 |
$0.00 |