| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
9,385 |
8,438 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
8,793 |
7,468 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,065 |
980 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
335 |
317 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
412 |
376 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
172 |
163 |
$6K |
| 93971 |
|
531 |
468 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
31 |
29 |
$972.21 |
| 71250 |
|
44 |
38 |
$817.65 |
| 73630 |
|
185 |
154 |
$803.02 |
| 73502 |
|
201 |
173 |
$780.82 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
29 |
$654.22 |
| 74018 |
|
121 |
97 |
$428.93 |
| 73030 |
|
124 |
103 |
$394.35 |
| 72100 |
|
96 |
84 |
$368.86 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
30 |
30 |
$334.58 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$292.37 |
| 73130 |
|
51 |
44 |
$212.08 |
| 73562 |
|
48 |
41 |
$203.95 |
| 73610 |
|
33 |
31 |
$190.47 |
| 73560 |
|
73 |
60 |
$153.66 |
| 74019 |
|
17 |
17 |
$142.27 |
| 73110 |
|
16 |
13 |
$37.62 |
| 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) |
215 |
199 |
$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 |
256 |
238 |
$0.00 |
| G9638 |
Final reports without 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) |
74 |
70 |
$0.00 |