| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
73,805 |
65,136 |
$252K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,985 |
9,523 |
$201K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,340 |
4,180 |
$138K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,616 |
3,437 |
$63K |
| 74018 |
|
12,351 |
10,297 |
$51K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
800 |
786 |
$48K |
| 76770 |
|
1,874 |
1,824 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,053 |
1,013 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
983 |
965 |
$26K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
311 |
306 |
$24K |
| 76801 |
|
390 |
374 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
3,920 |
3,732 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
238 |
236 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
298 |
245 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
471 |
460 |
$6K |
| 76642 |
|
145 |
142 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
171 |
159 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
181 |
173 |
$4K |
| 76830 |
Ultrasound, transvaginal |
102 |
100 |
$3K |
| 73630 |
|
539 |
508 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
81 |
76 |
$3K |
| 76506 |
|
191 |
157 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
41 |
40 |
$2K |
| 73610 |
|
408 |
384 |
$2K |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
5,864 |
5,264 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
439 |
399 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
114 |
$2K |
| 73110 |
|
151 |
139 |
$824.92 |
| Q0092 |
Set-up portable x-ray equipment |
10,339 |
9,176 |
$719.46 |
| 73130 |
|
111 |
106 |
$648.92 |
| 93971 |
|
26 |
25 |
$644.03 |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$536.48 |
| 73562 |
|
86 |
78 |
$487.76 |
| 74230 |
|
18 |
17 |
$387.61 |
| 73030 |
|
64 |
58 |
$362.24 |
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
1,212 |
1,065 |
$312.67 |
| 76857 |
|
12 |
12 |
$283.03 |
| 73080 |
|
24 |
24 |
$141.25 |
| 77072 |
|
12 |
12 |
$87.00 |
| 72100 |
|
12 |
12 |
$73.44 |
| 73140 |
|
15 |
15 |
$62.27 |
| 93000 |
|
12 |
12 |
$25.94 |