| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,052 |
1,912 |
$98K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,139 |
3,890 |
$90K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,385 |
3,216 |
$69K |
| 71046 |
Radiologic examination, chest; 2 views |
9,564 |
8,976 |
$61K |
| 71045 |
Radiologic examination, chest; single view |
14,883 |
12,156 |
$60K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,137 |
914 |
$53K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,382 |
2,179 |
$53K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,208 |
967 |
$32K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
621 |
593 |
$29K |
| 76642 |
|
1,338 |
1,052 |
$28K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,740 |
1,618 |
$27K |
| 73630 |
|
2,559 |
2,077 |
$15K |
| 76830 |
Ultrasound, transvaginal |
510 |
485 |
$13K |
| 74018 |
|
2,250 |
2,020 |
$13K |
| 72110 |
|
1,158 |
1,114 |
$12K |
| 72100 |
|
1,654 |
1,575 |
$12K |
| 76536 |
|
599 |
570 |
$11K |
| 73030 |
|
1,849 |
1,598 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
389 |
378 |
$10K |
| 77065 |
Tomosynthesis, mammo |
455 |
413 |
$10K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
158 |
148 |
$10K |
| 71250 |
|
321 |
299 |
$8K |
| 73610 |
|
1,322 |
1,144 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
337 |
217 |
$8K |
| 76775 |
|
446 |
416 |
$8K |
| 74022 |
|
702 |
658 |
$7K |
| 73130 |
|
1,057 |
894 |
$6K |
| 73562 |
|
932 |
723 |
$6K |
| 93925 |
|
304 |
282 |
$5K |
| 72050 |
|
467 |
453 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
196 |
189 |
$5K |
| 93880 |
|
365 |
332 |
$5K |
| 93971 |
|
312 |
297 |
$5K |
| 73564 |
|
631 |
485 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
138 |
130 |
$4K |
| 77066 |
Tomosynthesis, mammo |
122 |
115 |
$4K |
| 73110 |
|
595 |
520 |
$4K |
| 73502 |
|
558 |
522 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
72 |
64 |
$3K |
| 72141 |
|
41 |
41 |
$2K |
| 72040 |
|
296 |
281 |
$2K |
| 72084 |
|
151 |
145 |
$2K |
| 78227 |
|
61 |
61 |
$2K |
| 72072 |
|
254 |
244 |
$2K |
| 73560 |
|
344 |
281 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
44 |
44 |
$2K |
| 72131 |
|
42 |
40 |
$1K |
| 93970 |
|
76 |
71 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$928.62 |
| 77061 |
|
38 |
37 |
$902.87 |
| 73080 |
|
143 |
132 |
$866.03 |
| 73090 |
|
120 |
109 |
$702.21 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
16 |
$521.63 |
| 73590 |
|
74 |
68 |
$412.00 |
| 77062 |
|
13 |
12 |
$387.43 |
| 76801 |
|
14 |
13 |
$345.14 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
16 |
$340.91 |
| 77080 |
|
53 |
50 |
$260.58 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$258.06 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
12 |
$240.76 |
| 74019 |
|
31 |
26 |
$222.32 |
| 76882 |
|
17 |
13 |
$211.50 |
| 91200 |
|
15 |
14 |
$178.19 |
| 76857 |
|
16 |
14 |
$161.90 |
| 72083 |
|
13 |
13 |
$140.78 |
| 73620 |
|
18 |
15 |
$103.11 |
| 73521 |
|
13 |
12 |
$94.17 |
| 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) |
2,236 |
1,920 |
$7.28 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
2,496 |
2,188 |
$5.70 |
| 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) |
1,142 |
890 |
$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 |
497 |
445 |
$0.00 |
| 7025F |
|
562 |
541 |
$0.00 |
| 3341F |
|
259 |
251 |
$0.00 |