| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
361 |
341 |
$62K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,006 |
970 |
$47K |
| 70450 |
Computed tomography, head or brain; without contrast material |
397 |
386 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
2,079 |
1,973 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
91 |
89 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,422 |
2,166 |
$9K |
| 73221 |
|
55 |
54 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
79 |
79 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
92 |
91 |
$3K |
| 71250 |
|
66 |
61 |
$2K |
| 74018 |
|
284 |
262 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
66 |
65 |
$2K |
| 73630 |
|
152 |
144 |
$2K |
| 73130 |
|
94 |
87 |
$1K |
| 73610 |
|
61 |
58 |
$1K |
| 73110 |
|
35 |
32 |
$477.86 |
| 73030 |
|
43 |
41 |
$436.56 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$425.02 |
| 72100 |
|
14 |
14 |
$203.92 |
| 73560 |
|
12 |
12 |
$111.29 |
| 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) |
561 |
505 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
189 |
167 |
$0.00 |