| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,995 |
1,788 |
$102K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,358 |
2,198 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
8,079 |
7,171 |
$50K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,370 |
1,183 |
$41K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,771 |
1,631 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,626 |
1,428 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,377 |
1,154 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
3,990 |
3,106 |
$16K |
| 76830 |
Ultrasound, transvaginal |
587 |
542 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
449 |
406 |
$10K |
| 76641 |
|
328 |
255 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
179 |
173 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
207 |
193 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
111 |
103 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
104 |
90 |
$4K |
| 76536 |
|
231 |
207 |
$4K |
| 76376 |
|
1,011 |
890 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
60 |
52 |
$3K |
| 76377 |
|
217 |
182 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
95 |
49 |
$2K |
| 71250 |
|
80 |
75 |
$2K |
| 73610 |
|
354 |
318 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
107 |
98 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
25 |
24 |
$2K |
| 73564 |
|
217 |
191 |
$1K |
| 73630 |
|
267 |
235 |
$1K |
| 74018 |
|
165 |
142 |
$1K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
13 |
$930.44 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
33 |
27 |
$924.69 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
20 |
18 |
$837.88 |
| 73221 |
|
15 |
14 |
$793.64 |
| 93976 |
|
31 |
27 |
$703.00 |
| 73130 |
|
93 |
84 |
$580.14 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
35 |
28 |
$558.49 |
| 72100 |
|
72 |
65 |
$512.46 |
| 73110 |
|
64 |
54 |
$369.84 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
13 |
$367.59 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$300.37 |
| 73030 |
|
53 |
50 |
$295.31 |
| 71271 |
|
12 |
12 |
$275.88 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
12 |
$246.85 |
| 93971 |
|
15 |
13 |
$204.60 |
| 73502 |
|
13 |
12 |
$68.26 |
| 73560 |
|
17 |
12 |
$57.09 |
| 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) |
10,023 |
7,587 |
$0.08 |
| 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) |
732 |
545 |
$0.02 |
| 3342F |
|
232 |
213 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
3,169 |
2,765 |
$0.00 |
| 7025F |
|
930 |
899 |
$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 |
1,603 |
1,399 |
$0.00 |
| 3341F |
|
40 |
40 |
$0.00 |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
30 |
30 |
$0.00 |