| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
872 |
843 |
$26K |
| 36902 |
|
430 |
360 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
240 |
227 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
624 |
581 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,227 |
1,825 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
220 |
211 |
$8K |
| 36905 |
|
115 |
96 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
890 |
826 |
$6K |
| 36907 |
|
372 |
314 |
$4K |
| 36561 |
|
52 |
47 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
151 |
146 |
$2K |
| 74018 |
|
460 |
398 |
$2K |
| 76642 |
|
64 |
63 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
28 |
$979.34 |
| 74019 |
|
138 |
135 |
$934.14 |
| 77066 |
Tomosynthesis, mammo |
28 |
28 |
$927.51 |
| 76770 |
|
45 |
44 |
$804.92 |
| 93931 |
|
147 |
145 |
$736.64 |
| 36558 |
|
13 |
13 |
$698.86 |
| 93970 |
|
45 |
45 |
$656.96 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
24 |
$641.35 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
52 |
24 |
$609.84 |
| 36901 |
|
17 |
14 |
$567.79 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$532.26 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18 |
14 |
$452.16 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
15 |
$443.40 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$410.26 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$293.80 |
| 93971 |
|
26 |
25 |
$284.41 |
| 73564 |
|
39 |
38 |
$261.63 |
| 76775 |
|
14 |
13 |
$215.02 |
| 76937 |
|
113 |
103 |
$187.79 |
| 73502 |
|
15 |
15 |
$83.64 |
| 73030 |
|
12 |
12 |
$66.66 |
| 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) |
1,104 |
994 |
$0.00 |
| 3100F |
|
103 |
98 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
14 |
13 |
$0.00 |