| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,975 |
1,847 |
$131K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,256 |
1,200 |
$55K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
633 |
611 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
988 |
827 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
4,930 |
3,994 |
$22K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
179 |
164 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,692 |
2,524 |
$16K |
| 73630 |
|
1,138 |
1,004 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
572 |
452 |
$12K |
| 73610 |
|
582 |
500 |
$8K |
| 72110 |
|
486 |
455 |
$8K |
| 73130 |
|
738 |
614 |
$7K |
| 73562 |
|
635 |
532 |
$7K |
| 73030 |
|
449 |
378 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
139 |
123 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
83 |
80 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
99 |
97 |
$2K |
| 73110 |
|
153 |
138 |
$2K |
| 76830 |
Ultrasound, transvaginal |
51 |
51 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
38 |
$1K |
| 76536 |
|
40 |
39 |
$1K |
| 71250 |
|
27 |
24 |
$805.89 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
12 |
$539.25 |
| 73080 |
|
33 |
26 |
$404.75 |
| 73502 |
|
49 |
42 |
$371.40 |
| 76642 |
|
16 |
13 |
$332.96 |
| 74018 |
|
45 |
40 |
$183.53 |
| 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) |
263 |
256 |
$0.00 |