| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,241 |
7,065 |
$357K |
| 71045 |
Radiologic examination, chest; single view |
34,478 |
31,414 |
$158K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,823 |
6,596 |
$133K |
| 71046 |
Radiologic examination, chest; 2 views |
16,637 |
16,369 |
$122K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
7,247 |
7,130 |
$110K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,425 |
6,111 |
$109K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,270 |
2,164 |
$84K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,682 |
2,678 |
$71K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,990 |
2,344 |
$68K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,558 |
2,548 |
$54K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,324 |
2,131 |
$53K |
| 76642 |
|
2,399 |
1,764 |
$50K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,299 |
2,288 |
$43K |
| 76770 |
|
1,217 |
1,214 |
$22K |
| 76830 |
Ultrasound, transvaginal |
1,143 |
1,135 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
748 |
740 |
$18K |
| 93970 |
|
516 |
514 |
$17K |
| 73630 |
|
2,683 |
2,481 |
$14K |
| 73562 |
|
2,806 |
2,402 |
$12K |
| 93976 |
|
523 |
518 |
$11K |
| 73030 |
|
1,703 |
1,564 |
$9K |
| 73610 |
|
1,377 |
1,333 |
$8K |
| 77066 |
Tomosynthesis, mammo |
244 |
235 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
169 |
168 |
$7K |
| 73130 |
|
1,251 |
1,155 |
$7K |
| 76857 |
|
366 |
364 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
309 |
289 |
$6K |
| 76801 |
|
255 |
246 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
305 |
302 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
360 |
359 |
$5K |
| 72100 |
|
651 |
649 |
$5K |
| 74018 |
|
597 |
571 |
$3K |
| 72110 |
|
318 |
317 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
108 |
108 |
$3K |
| 73110 |
|
476 |
454 |
$3K |
| 74178 |
|
56 |
56 |
$2K |
| 93971 |
|
226 |
224 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
49 |
48 |
$2K |
| 70496 |
|
13 |
13 |
$578.32 |
| 70498 |
|
14 |
14 |
$544.64 |
| 77062 |
|
19 |
19 |
$500.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
22 |
22 |
$399.88 |
| 77065 |
Tomosynthesis, mammo |
28 |
27 |
$384.19 |
| 73090 |
|
67 |
65 |
$330.46 |
| 76870 |
|
13 |
13 |
$319.49 |
| 76882 |
|
15 |
13 |
$281.63 |
| 73080 |
|
38 |
37 |
$219.93 |
| 77080 |
|
40 |
40 |
$188.18 |
| 73590 |
|
55 |
51 |
$165.49 |
| 73502 |
|
27 |
26 |
$106.69 |
| 73140 |
|
14 |
14 |
$71.84 |
| 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) |
2,252 |
1,777 |
$0.00 |