| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,052 |
1,813 |
$68K |
| 70450 |
Computed tomography, head or brain; without contrast material |
490 |
448 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
693 |
669 |
$23K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
715 |
656 |
$20K |
| 76830 |
Ultrasound, transvaginal |
511 |
495 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
361 |
335 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
282 |
266 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
287 |
285 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,447 |
1,140 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,068 |
1,010 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
209 |
176 |
$4K |
| 76770 |
|
77 |
65 |
$2K |
| 73610 |
|
132 |
119 |
$2K |
| 74178 |
|
35 |
35 |
$2K |
| 73630 |
|
110 |
103 |
$1K |
| 73562 |
|
87 |
73 |
$991.35 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
42 |
33 |
$933.72 |
| 74018 |
|
146 |
126 |
$668.55 |
| 93975 |
|
29 |
28 |
$616.17 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
14 |
$503.30 |
| 73130 |
|
54 |
45 |
$458.58 |
| 73030 |
|
47 |
43 |
$452.26 |
| 76536 |
|
12 |
12 |
$295.07 |
| 93971 |
|
44 |
42 |
$280.02 |
| 71250 |
|
13 |
12 |
$250.80 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
13 |
$132.15 |
| 73110 |
|
12 |
12 |
$123.98 |
| 73502 |
|
13 |
13 |
$47.25 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
127 |
127 |
$2.04 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
636 |
544 |
$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) |
892 |
705 |
$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 |
97 |
87 |
$0.00 |