| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,414 |
1,312 |
$55K |
| 71045 |
Radiologic examination, chest; single view |
7,266 |
6,371 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,062 |
950 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,547 |
2,408 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
165 |
160 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
70 |
65 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
354 |
334 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,071 |
861 |
$2K |
| 76830 |
Ultrasound, transvaginal |
532 |
483 |
$1K |
| 72100 |
|
550 |
532 |
$903.33 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
42 |
41 |
$850.70 |
| 71250 |
|
57 |
49 |
$730.97 |
| 73630 |
|
422 |
380 |
$581.65 |
| 74018 |
|
567 |
547 |
$513.01 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
261 |
203 |
$474.42 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
284 |
137 |
$448.96 |
| 73564 |
|
325 |
262 |
$344.93 |
| 72110 |
|
38 |
38 |
$344.66 |
| 76536 |
|
87 |
82 |
$336.39 |
| 73030 |
|
217 |
194 |
$331.50 |
| 73610 |
|
235 |
219 |
$315.48 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
114 |
99 |
$190.12 |
| 73130 |
|
178 |
170 |
$187.25 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
49 |
$166.03 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
58 |
50 |
$100.64 |
| 76775 |
|
53 |
50 |
$87.70 |
| 72040 |
|
122 |
116 |
$71.45 |
| 73110 |
|
94 |
85 |
$66.06 |
| 76857 |
|
33 |
29 |
$61.52 |
| 93971 |
|
32 |
30 |
$54.47 |
| 72072 |
|
27 |
27 |
$29.32 |
| 73080 |
|
12 |
12 |
$24.72 |
| 73502 |
|
30 |
28 |
$15.93 |
| 74019 |
|
16 |
16 |
$12.02 |
| 73560 |
|
18 |
12 |
$5.40 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
41 |
38 |
$0.00 |
| G9638 |
Final reports without 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) |
151 |
123 |
$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) |
78 |
57 |
$0.00 |