| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,858 |
7,784 |
$414K |
| 71045 |
Radiologic examination, chest; single view |
52,507 |
46,714 |
$340K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,442 |
11,033 |
$277K |
| 71046 |
Radiologic examination, chest; 2 views |
30,125 |
29,933 |
$238K |
| 70496 |
|
1,743 |
1,680 |
$85K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,597 |
1,572 |
$75K |
| 70498 |
|
1,273 |
1,219 |
$56K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
969 |
962 |
$47K |
| 74018 |
|
4,806 |
4,245 |
$31K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
608 |
602 |
$25K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
902 |
889 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
301 |
300 |
$10K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
110 |
107 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
241 |
240 |
$5K |
| 73630 |
|
426 |
416 |
$2K |
| 73564 |
|
276 |
267 |
$2K |
| 71250 |
|
53 |
53 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
52 |
51 |
$2K |
| 73030 |
|
159 |
153 |
$867.86 |
| 76830 |
Ultrasound, transvaginal |
37 |
37 |
$756.17 |
| 76376 |
|
132 |
130 |
$743.89 |
| 73502 |
|
80 |
79 |
$687.98 |
| 73610 |
|
119 |
117 |
$515.23 |
| 74240 |
|
14 |
14 |
$412.33 |
| 73130 |
|
81 |
79 |
$365.47 |
| 72100 |
|
49 |
49 |
$323.94 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$229.38 |
| 76770 |
|
12 |
12 |
$200.87 |
| 0042T |
|
403 |
387 |
$175.84 |
| 73110 |
|
24 |
24 |
$167.37 |
| 74022 |
|
14 |
14 |
$130.11 |
| 77073 |
|
15 |
15 |
$125.31 |
| 73562 |
|
13 |
12 |
$83.44 |
| 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) |
456 |
439 |
$0.00 |
| 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) |
716 |
693 |
$0.00 |