| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,805 |
3,552 |
$190K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,738 |
2,599 |
$144K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,921 |
3,681 |
$97K |
| 71045 |
Radiologic examination, chest; single view |
12,488 |
11,032 |
$76K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,723 |
2,621 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
5,487 |
5,079 |
$44K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
865 |
818 |
$43K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,266 |
1,241 |
$31K |
| 72131 |
|
1,190 |
1,133 |
$24K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
916 |
868 |
$23K |
| 71250 |
|
595 |
558 |
$18K |
| 76536 |
|
997 |
970 |
$15K |
| 74022 |
|
1,171 |
1,119 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
311 |
297 |
$10K |
| 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) |
1,614 |
1,337 |
$9K |
| 70486 |
|
283 |
270 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
124 |
118 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
321 |
311 |
$5K |
| 73630 |
|
955 |
908 |
$5K |
| 73030 |
|
623 |
593 |
$4K |
| 76882 |
|
347 |
252 |
$4K |
| 73610 |
|
699 |
652 |
$4K |
| 72110 |
|
298 |
287 |
$4K |
| 72100 |
|
466 |
443 |
$3K |
| 73130 |
|
642 |
606 |
$3K |
| 76981 |
|
185 |
184 |
$3K |
| 73564 |
|
414 |
387 |
$3K |
| 93971 |
|
258 |
248 |
$2K |
| 76642 |
|
105 |
83 |
$2K |
| 74019 |
|
328 |
312 |
$2K |
| 73110 |
|
290 |
271 |
$1K |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
641 |
553 |
$1K |
| 73560 |
|
222 |
200 |
$1K |
| 72192 |
|
185 |
167 |
$1K |
| 73562 |
|
176 |
143 |
$1K |
| 74018 |
|
179 |
170 |
$1K |
| 73700 |
|
54 |
30 |
$821.93 |
| 73502 |
|
77 |
72 |
$722.66 |
| 73120 |
|
110 |
108 |
$601.46 |
| 73620 |
|
134 |
126 |
$540.00 |
| 70491 |
|
12 |
12 |
$464.62 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$433.80 |
| 78226 |
|
20 |
20 |
$357.66 |
| 73600 |
|
74 |
72 |
$331.16 |
| 73090 |
|
62 |
59 |
$293.36 |
| 76775 |
|
48 |
42 |
$278.84 |
| 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 |
59 |
55 |
$249.11 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$247.51 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$228.83 |
| 72128 |
|
16 |
16 |
$211.57 |
| 73080 |
|
34 |
31 |
$161.46 |
| 73020 |
|
37 |
37 |
$157.22 |
| 73070 |
|
26 |
25 |
$134.74 |
| 72170 |
|
28 |
27 |
$134.52 |
| 73590 |
|
29 |
27 |
$117.00 |
| 73100 |
|
28 |
25 |
$110.96 |
| 93880 |
|
33 |
31 |
$83.04 |
| 76770 |
|
13 |
12 |
$49.66 |
| 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) |
164 |
115 |
$0.00 |
| 7025F |
|
13 |
13 |
$0.00 |