| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12,345 |
12,149 |
$587K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,593 |
7,582 |
$211K |
| 71046 |
Radiologic examination, chest; 2 views |
28,291 |
27,933 |
$200K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,630 |
4,552 |
$199K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,539 |
1,535 |
$185K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,750 |
6,672 |
$131K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,349 |
6,348 |
$119K |
| 71045 |
Radiologic examination, chest; single view |
19,202 |
18,283 |
$108K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,143 |
2,963 |
$103K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
5,097 |
5,013 |
$78K |
| 76641 |
|
3,020 |
2,977 |
$74K |
| 72141 |
|
605 |
604 |
$66K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
471 |
469 |
$50K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
717 |
712 |
$49K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,864 |
1,834 |
$48K |
| 76830 |
Ultrasound, transvaginal |
2,754 |
2,693 |
$47K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
719 |
707 |
$35K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,359 |
1,244 |
$35K |
| 73630 |
|
6,402 |
6,215 |
$29K |
| 71271 |
|
629 |
628 |
$28K |
| 76801 |
|
767 |
758 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,473 |
1,454 |
$27K |
| 73610 |
|
5,508 |
5,319 |
$25K |
| 76536 |
|
1,418 |
1,414 |
$25K |
| 74018 |
|
3,850 |
3,721 |
$23K |
| 73564 |
|
3,103 |
3,020 |
$22K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
885 |
881 |
$22K |
| 73030 |
|
3,929 |
3,814 |
$21K |
| 71250 |
|
820 |
816 |
$21K |
| 73221 |
|
282 |
277 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
501 |
500 |
$19K |
| 73110 |
|
3,786 |
3,556 |
$17K |
| 73130 |
|
3,367 |
3,222 |
$16K |
| 93971 |
|
1,123 |
1,105 |
$15K |
| 70486 |
|
131 |
131 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
423 |
420 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
207 |
206 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
293 |
269 |
$8K |
| 72110 |
|
996 |
994 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
228 |
162 |
$7K |
| 73502 |
|
807 |
791 |
$6K |
| 73562 |
|
944 |
932 |
$5K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
88 |
88 |
$5K |
| 70491 |
|
53 |
52 |
$5K |
| 72100 |
|
587 |
586 |
$3K |
| 76770 |
|
106 |
106 |
$2K |
| 76775 |
|
138 |
138 |
$2K |
| 73560 |
|
404 |
391 |
$2K |
| 74150 |
|
78 |
77 |
$2K |
| 73140 |
|
478 |
465 |
$2K |
| 73590 |
|
333 |
312 |
$1K |
| 73080 |
|
326 |
312 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
12 |
$996.41 |
| 77065 |
Tomosynthesis, mammo |
44 |
44 |
$991.19 |
| 76813 |
|
13 |
13 |
$624.18 |
| 76870 |
|
28 |
28 |
$521.43 |
| 73090 |
|
115 |
108 |
$513.95 |
| 93970 |
|
27 |
27 |
$502.56 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$455.60 |
| 77080 |
|
100 |
100 |
$430.42 |
| 74160 |
|
12 |
12 |
$333.20 |
| 72070 |
|
42 |
42 |
$274.96 |
| 73620 |
|
52 |
50 |
$260.30 |
| 72114 |
|
15 |
15 |
$259.92 |
| 72193 |
|
12 |
12 |
$248.72 |
| 73120 |
|
29 |
29 |
$176.52 |
| 72040 |
|
31 |
31 |
$173.93 |
| 72050 |
|
15 |
15 |
$119.28 |
| 73565 |
|
39 |
39 |
$114.75 |
| 71101 |
|
14 |
14 |
$98.12 |
| 72202 |
|
15 |
15 |
$68.37 |
| 73060 |
|
15 |
15 |
$60.84 |
| 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) |
12 |
12 |
$0.00 |