| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,652 |
4,195 |
$251K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,480 |
3,993 |
$200K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,647 |
1,490 |
$72K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,638 |
1,512 |
$59K |
| 71045 |
Radiologic examination, chest; single view |
13,993 |
10,731 |
$48K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
486 |
391 |
$48K |
| 71250 |
|
1,441 |
1,322 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
7,229 |
6,630 |
$37K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,164 |
1,024 |
$36K |
| 73630 |
|
2,829 |
2,422 |
$31K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,776 |
1,639 |
$30K |
| 73610 |
|
1,906 |
1,647 |
$27K |
| 73564 |
|
1,808 |
1,513 |
$21K |
| 72110 |
|
1,123 |
992 |
$18K |
| 73030 |
|
1,615 |
1,378 |
$16K |
| 73130 |
|
1,522 |
1,247 |
$15K |
| 73110 |
|
973 |
828 |
$11K |
| 74018 |
|
2,274 |
1,949 |
$9K |
| 72100 |
|
731 |
669 |
$9K |
| 70498 |
|
56 |
40 |
$6K |
| 70496 |
|
55 |
39 |
$6K |
| 70486 |
|
149 |
134 |
$5K |
| 72131 |
|
133 |
125 |
$5K |
| 76536 |
|
162 |
152 |
$4K |
| 73502 |
|
762 |
640 |
$4K |
| 71271 |
|
109 |
105 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
85 |
78 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
67 |
60 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
104 |
102 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
60 |
59 |
$2K |
| 76830 |
Ultrasound, transvaginal |
56 |
52 |
$2K |
| 76775 |
|
116 |
109 |
$2K |
| 73080 |
|
144 |
121 |
$1K |
| 73521 |
|
181 |
166 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
25 |
$968.33 |
| 74240 |
|
44 |
44 |
$959.35 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$866.77 |
| 73590 |
|
74 |
61 |
$704.56 |
| 73090 |
|
75 |
69 |
$626.69 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$606.39 |
| 72128 |
|
13 |
12 |
$483.97 |
| 72050 |
|
33 |
29 |
$483.30 |
| 73140 |
|
44 |
40 |
$461.49 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$389.88 |
| 76770 |
|
13 |
12 |
$341.99 |
| 72072 |
|
20 |
13 |
$205.43 |
| 73560 |
|
23 |
15 |
$164.06 |
| 72020 |
|
13 |
13 |
$122.52 |
| 73060 |
|
12 |
12 |
$95.63 |
| 72170 |
|
13 |
12 |
$66.38 |
| 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) |
16 |
14 |
$0.00 |