| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
10,753 |
9,616 |
$424K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16,494 |
14,491 |
$240K |
| 71045 |
Radiologic examination, chest; single view |
68,669 |
53,745 |
$209K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
9,031 |
7,870 |
$170K |
| 71046 |
Radiologic examination, chest; 2 views |
19,417 |
17,733 |
$95K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,667 |
2,457 |
$76K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,873 |
1,697 |
$57K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,424 |
1,322 |
$46K |
| 93976 |
|
1,112 |
997 |
$38K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
966 |
892 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,631 |
1,522 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
848 |
722 |
$19K |
| 74018 |
|
4,162 |
3,440 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
472 |
390 |
$10K |
| 76801 |
|
237 |
226 |
$8K |
| 72100 |
|
996 |
885 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
579 |
504 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
171 |
164 |
$4K |
| 73630 |
|
786 |
668 |
$3K |
| 73030 |
|
886 |
736 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
172 |
128 |
$2K |
| 73130 |
|
516 |
442 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
92 |
66 |
$2K |
| 73610 |
|
319 |
276 |
$1K |
| 99152 |
|
121 |
95 |
$998.02 |
| 73562 |
|
236 |
184 |
$983.89 |
| 76937 |
|
224 |
147 |
$819.76 |
| 73502 |
|
198 |
177 |
$637.36 |
| 70496 |
|
20 |
12 |
$630.54 |
| 76376 |
|
134 |
112 |
$621.08 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
17 |
16 |
$556.16 |
| 72110 |
|
74 |
63 |
$517.69 |
| 76770 |
|
46 |
45 |
$423.47 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$420.52 |
| 71250 |
|
31 |
28 |
$383.96 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$281.01 |
| 76642 |
|
16 |
12 |
$250.08 |
| 73564 |
|
42 |
37 |
$243.01 |
| 73590 |
|
52 |
45 |
$223.75 |
| 73110 |
|
49 |
43 |
$219.86 |
| 72070 |
|
32 |
28 |
$159.12 |
| 99153 |
Mod sedat endo service >5yrs |
103 |
81 |
$145.97 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
19 |
12 |
$124.31 |
| 72040 |
|
30 |
28 |
$123.53 |
| 93971 |
|
13 |
13 |
$117.62 |
| 73090 |
|
28 |
24 |
$95.14 |
| 72050 |
|
13 |
13 |
$81.29 |
| 73560 |
|
28 |
15 |
$68.76 |
| 73552 |
|
15 |
14 |
$66.24 |
| 73620 |
|
16 |
16 |
$61.39 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$12.12 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
39 |
37 |
$0.09 |
| 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) |
390 |
344 |
$0.00 |
| 99070 |
|
15 |
14 |
$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 |
16 |
14 |
$0.00 |