| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
1,053 |
1,045 |
$91K |
| 93975 |
|
584 |
579 |
$59K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
364 |
363 |
$57K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
161 |
161 |
$25K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
601 |
597 |
$23K |
| 76536 |
|
296 |
295 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
293 |
292 |
$19K |
| 76775 |
|
276 |
275 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
442 |
441 |
$9K |
| 71250 |
|
104 |
104 |
$9K |
| 73560 |
|
371 |
253 |
$7K |
| 71271 |
|
69 |
69 |
$5K |
| 73630 |
|
245 |
171 |
$5K |
| 72100 |
|
204 |
204 |
$4K |
| 73030 |
|
223 |
190 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
43 |
43 |
$3K |
| 72141 |
|
12 |
12 |
$2K |
| 98960 |
|
83 |
83 |
$1K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
131 |
131 |
$1K |
| 72110 |
|
12 |
12 |
$294.96 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
75 |
74 |
$270.14 |
| 72040 |
|
12 |
12 |
$203.23 |
| 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) |
22 |
22 |
$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 |
22 |
22 |
$0.00 |