| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,527 |
6,881 |
$716K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,439 |
4,867 |
$228K |
| 71045 |
Radiologic examination, chest; single view |
17,542 |
14,199 |
$136K |
| 71046 |
Radiologic examination, chest; 2 views |
9,795 |
8,872 |
$103K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
136 |
132 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
164 |
144 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
180 |
170 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
101 |
66 |
$5K |
| 73610 |
|
236 |
201 |
$2K |
| 74178 |
|
17 |
16 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
24 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
24 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$871.32 |
| 73110 |
|
93 |
76 |
$850.92 |
| 73030 |
|
85 |
79 |
$833.09 |
| 73562 |
|
89 |
78 |
$812.91 |
| 73630 |
|
91 |
81 |
$751.46 |
| 72100 |
|
54 |
54 |
$627.25 |
| 73130 |
|
66 |
65 |
$613.01 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$612.37 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$611.43 |
| 73564 |
|
15 |
12 |
$145.44 |
| 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) |
659 |
611 |
$0.00 |
| 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) |
197 |
187 |
$0.00 |
| 71020 |
|
31 |
31 |
$0.00 |