| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,757 |
5,050 |
$248K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,518 |
6,596 |
$222K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,910 |
9,159 |
$218K |
| 71046 |
Radiologic examination, chest; 2 views |
25,267 |
23,249 |
$145K |
| 71045 |
Radiologic examination, chest; single view |
44,342 |
35,017 |
$118K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,403 |
4,097 |
$41K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,451 |
1,280 |
$36K |
| 72100 |
|
3,466 |
3,209 |
$23K |
| 74018 |
|
3,902 |
2,979 |
$19K |
| 76642 |
|
1,078 |
873 |
$18K |
| 73630 |
|
2,859 |
2,359 |
$16K |
| 93971 |
|
673 |
590 |
$11K |
| 77065 |
Tomosynthesis, mammo |
500 |
415 |
$11K |
| 74019 |
|
1,520 |
1,391 |
$10K |
| 77066 |
Tomosynthesis, mammo |
241 |
229 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
422 |
380 |
$7K |
| 73030 |
|
1,340 |
1,181 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
344 |
317 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
110 |
103 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
72 |
65 |
$6K |
| 36569 |
|
106 |
87 |
$5K |
| 73130 |
|
751 |
633 |
$4K |
| 73560 |
|
821 |
675 |
$4K |
| 73610 |
|
457 |
424 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
24 |
24 |
$2K |
| 73562 |
|
354 |
281 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
30 |
26 |
$2K |
| 71250 |
|
28 |
24 |
$1K |
| 76937 |
|
369 |
297 |
$962.15 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
12 |
$882.76 |
| 72040 |
|
129 |
119 |
$826.75 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
20 |
18 |
$803.34 |
| 77061 |
|
39 |
36 |
$655.52 |
| 73502 |
|
84 |
79 |
$591.12 |
| 77080 |
|
48 |
44 |
$418.37 |
| 74022 |
|
38 |
38 |
$377.58 |
| 76770 |
|
29 |
28 |
$377.21 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$292.40 |
| 77001 |
|
47 |
37 |
$270.22 |
| 73110 |
|
49 |
44 |
$269.76 |
| 77062 |
|
15 |
13 |
$231.36 |
| 76536 |
|
15 |
13 |
$189.08 |
| 36410 |
|
35 |
25 |
$96.54 |
| 76882 |
|
20 |
12 |
$80.60 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
29 |
26 |
$39.77 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
22 |
12 |
$0.00 |
| 3341F |
|
329 |
326 |
$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) |
4,196 |
3,306 |
$0.00 |
| 7025F |
|
711 |
699 |
$0.00 |