| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,564 |
2,512 |
$119K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,006 |
2,129 |
$118K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,507 |
3,683 |
$84K |
| 71046 |
Radiologic examination, chest; 2 views |
12,343 |
8,956 |
$67K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,036 |
1,652 |
$61K |
| 71045 |
Radiologic examination, chest; single view |
12,559 |
7,139 |
$42K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
929 |
751 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,075 |
822 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
963 |
748 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
940 |
702 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
749 |
565 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
207 |
160 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
356 |
279 |
$9K |
| 74018 |
|
1,692 |
1,282 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
212 |
137 |
$7K |
| 76830 |
Ultrasound, transvaginal |
354 |
254 |
$6K |
| 73630 |
|
979 |
682 |
$4K |
| 73610 |
|
911 |
616 |
$4K |
| 73562 |
|
853 |
571 |
$4K |
| 74022 |
|
428 |
320 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
91 |
77 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
178 |
101 |
$3K |
| 76801 |
|
103 |
77 |
$3K |
| 73030 |
|
573 |
389 |
$2K |
| 76770 |
|
154 |
99 |
$2K |
| 73130 |
|
360 |
252 |
$2K |
| 72100 |
|
293 |
220 |
$1K |
| 73110 |
|
322 |
214 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
27 |
12 |
$747.36 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
31 |
26 |
$707.01 |
| 73502 |
|
135 |
81 |
$578.94 |
| 72110 |
|
79 |
52 |
$456.17 |
| 76642 |
|
20 |
15 |
$329.95 |
| 74019 |
|
42 |
39 |
$277.91 |
| 76536 |
|
15 |
14 |
$248.93 |
| 93971 |
|
16 |
13 |
$188.40 |
| 73140 |
|
37 |
25 |
$92.65 |
| 73560 |
|
22 |
12 |
$62.67 |
| 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) |
14,804 |
8,977 |
$0.05 |
| 7025F |
|
1,058 |
812 |
$0.00 |
| 3342F |
|
521 |
382 |
$0.00 |