| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
921 |
876 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,708 |
1,549 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
434 |
410 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
4,174 |
3,620 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,862 |
1,751 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
290 |
276 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
120 |
103 |
$2K |
| 74018 |
|
570 |
460 |
$2K |
| 73630 |
|
279 |
264 |
$2K |
| 72100 |
|
162 |
144 |
$1K |
| 73610 |
|
156 |
148 |
$840.37 |
| 73130 |
|
119 |
105 |
$610.11 |
| 93971 |
|
71 |
63 |
$594.11 |
| 76801 |
|
16 |
14 |
$480.54 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
15 |
$392.57 |
| 73562 |
|
66 |
62 |
$348.80 |
| 71250 |
|
27 |
27 |
$346.78 |
| 73030 |
|
72 |
65 |
$306.95 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
13 |
$268.64 |
| 73502 |
|
42 |
40 |
$249.24 |
| 73110 |
|
41 |
40 |
$231.84 |
| 74019 |
|
14 |
14 |
$112.22 |
| 72110 |
|
14 |
13 |
$72.07 |
| 72040 |
|
13 |
13 |
$68.21 |
| 73560 |
|
12 |
12 |
$53.85 |
| 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) |
847 |
690 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
865 |
705 |
$0.00 |