| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,936 |
1,655 |
$84K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,374 |
1,178 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
5,193 |
4,392 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
3,792 |
2,840 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
413 |
355 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
298 |
273 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
230 |
217 |
$5K |
| 72100 |
|
716 |
642 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
40 |
37 |
$2K |
| 73562 |
|
293 |
246 |
$2K |
| 73030 |
|
337 |
271 |
$2K |
| 71250 |
|
70 |
56 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
39 |
$1K |
| 76536 |
|
48 |
47 |
$915.90 |
| 73630 |
|
161 |
140 |
$887.21 |
| 73130 |
|
145 |
119 |
$787.14 |
| 72040 |
|
149 |
122 |
$785.90 |
| 73610 |
|
101 |
92 |
$665.17 |
| 74018 |
|
83 |
71 |
$436.16 |
| 73110 |
|
47 |
41 |
$269.82 |
| 74022 |
|
34 |
28 |
$253.33 |
| 72070 |
|
35 |
30 |
$197.72 |
| 73502 |
|
33 |
26 |
$142.59 |
| 93971 |
|
13 |
12 |
$133.59 |
| 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) |
1,141 |
919 |
$0.00 |
| 3342F |
|
77 |
72 |
$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) |
766 |
594 |
$0.00 |
| 7025F |
|
161 |
152 |
$0.00 |