| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,193 |
1,142 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
8,102 |
7,534 |
$40K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,130 |
1,093 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
893 |
818 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,015 |
986 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,760 |
2,399 |
$12K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
446 |
292 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
222 |
210 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
433 |
386 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
146 |
132 |
$4K |
| 71250 |
|
111 |
109 |
$3K |
| 76830 |
Ultrasound, transvaginal |
161 |
138 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
100 |
77 |
$2K |
| 76801 |
|
39 |
38 |
$1K |
| 93976 |
|
53 |
51 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
44 |
$978.30 |
| 76820 |
|
24 |
12 |
$348.60 |
| 76642 |
|
12 |
12 |
$227.64 |
| 73130 |
|
18 |
14 |
$85.93 |
| 73630 |
|
14 |
13 |
$65.18 |
| 74018 |
|
15 |
13 |
$53.07 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
535 |
387 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
236 |
214 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
103 |
60 |
$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 |
17 |
15 |
$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) |
1,125 |
791 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
13 |
12 |
$0.00 |