| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76377 |
|
5,053 |
4,339 |
$106K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,784 |
1,722 |
$89K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,077 |
1,042 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
2,926 |
2,770 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
597 |
593 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
594 |
590 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,897 |
1,330 |
$9K |
| 76830 |
Ultrasound, transvaginal |
296 |
288 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
95 |
94 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
244 |
240 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
52 |
52 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
57 |
56 |
$2K |
| 74019 |
|
252 |
240 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
51 |
51 |
$1K |
| 72100 |
|
215 |
213 |
$1K |
| 73630 |
|
266 |
248 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
44 |
40 |
$934.92 |
| 73610 |
|
175 |
167 |
$846.45 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$494.52 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
17 |
17 |
$488.24 |
| 73130 |
|
69 |
63 |
$341.55 |
| 73030 |
|
54 |
51 |
$278.20 |
| 73110 |
|
55 |
53 |
$272.25 |
| 71271 |
|
12 |
12 |
$271.79 |
| 74022 |
|
12 |
12 |
$109.32 |
| 74018 |
|
19 |
13 |
$92.70 |
| 73562 |
|
12 |
12 |
$58.85 |
| 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) |
14 |
13 |
$0.00 |