| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,452 |
1,366 |
$101K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,308 |
1,224 |
$77K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,719 |
1,605 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
4,000 |
3,749 |
$30K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
517 |
491 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
4,630 |
3,871 |
$22K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
320 |
307 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
677 |
662 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
451 |
415 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
550 |
538 |
$15K |
| 76830 |
Ultrasound, transvaginal |
306 |
301 |
$9K |
| 73630 |
|
1,336 |
1,106 |
$9K |
| 71250 |
|
171 |
163 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
271 |
269 |
$6K |
| 73610 |
|
820 |
718 |
$6K |
| 73562 |
|
572 |
519 |
$4K |
| 76377 |
|
176 |
161 |
$4K |
| 73130 |
|
455 |
413 |
$4K |
| 73030 |
|
557 |
499 |
$4K |
| 76376 |
|
577 |
542 |
$3K |
| 73620 |
|
536 |
452 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
38 |
38 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
58 |
55 |
$3K |
| 74018 |
|
437 |
386 |
$3K |
| 73110 |
|
338 |
301 |
$2K |
| 76801 |
|
46 |
39 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
90 |
76 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
26 |
$2K |
| 93880 |
|
115 |
110 |
$2K |
| 73560 |
|
309 |
279 |
$2K |
| 73600 |
|
279 |
250 |
$2K |
| 73502 |
|
274 |
244 |
$2K |
| 73120 |
|
196 |
182 |
$1K |
| 76536 |
|
61 |
60 |
$1K |
| 76642 |
|
43 |
36 |
$1K |
| 73100 |
|
145 |
125 |
$931.89 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$828.64 |
| 72100 |
|
89 |
85 |
$785.24 |
| 93971 |
|
51 |
48 |
$729.89 |
| 72170 |
|
115 |
108 |
$613.37 |
| 70486 |
|
12 |
12 |
$411.06 |
| 93923 |
|
26 |
24 |
$389.80 |
| 71271 |
|
18 |
13 |
$378.84 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
13 |
$327.04 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$314.11 |
| 76820 |
|
16 |
12 |
$248.15 |
| 72110 |
|
32 |
31 |
$241.59 |
| 73590 |
|
25 |
24 |
$186.19 |
| 71101 |
|
13 |
12 |
$112.88 |
| 73070 |
|
18 |
15 |
$106.72 |
| 73080 |
|
12 |
12 |
$79.37 |
| 73020 |
|
13 |
12 |
$65.61 |
| 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) |
7,394 |
5,790 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
184 |
171 |
$0.00 |
| 7025F |
|
440 |
434 |
$0.00 |
| 3100F |
|
97 |
95 |
$0.00 |
| G9550 |
Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up |
363 |
334 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
833 |
777 |
$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) |
512 |
411 |
$0.00 |
| G9556 |
Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended |
92 |
91 |
$0.00 |
| 3342F |
|
51 |
51 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
27 |
26 |
$0.00 |