| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,606 |
2,822 |
$96K |
| 71045 |
Radiologic examination, chest; single view |
36,269 |
25,920 |
$72K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,177 |
5,463 |
$67K |
| 71046 |
Radiologic examination, chest; 2 views |
9,507 |
7,784 |
$42K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
255 |
195 |
$6K |
| 93976 |
|
260 |
207 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
30 |
27 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
129 |
101 |
$1K |
| 77049 |
|
17 |
12 |
$708.35 |
| 74019 |
|
62 |
58 |
$314.68 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13 |
12 |
$291.49 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
14 |
$282.43 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$273.62 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$255.08 |
| 74018 |
|
73 |
64 |
$227.71 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
13 |
$213.54 |
| 99152 |
|
99 |
78 |
$176.32 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$166.49 |
| 99153 |
Mod sedat endo service >5yrs |
17 |
14 |
$108.92 |
| 72100 |
|
13 |
12 |
$87.80 |
| 73564 |
|
15 |
14 |
$70.43 |
| 73562 |
|
18 |
12 |
$47.09 |
| 73030 |
|
18 |
12 |
$45.32 |
| 76937 |
|
17 |
12 |
$20.69 |
| 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) |
1,662 |
1,315 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
944 |
719 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,196 |
1,457 |
$0.00 |