| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,073 |
5,973 |
$373K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,512 |
5,383 |
$179K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,622 |
2,578 |
$140K |
| 71045 |
Radiologic examination, chest; single view |
16,200 |
14,172 |
$91K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,941 |
2,927 |
$84K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,696 |
2,683 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
7,458 |
7,349 |
$54K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,080 |
1,065 |
$24K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
390 |
386 |
$17K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
216 |
212 |
$17K |
| 73630 |
|
2,129 |
2,079 |
$15K |
| 73610 |
|
1,827 |
1,738 |
$13K |
| 73564 |
|
375 |
369 |
$4K |
| 74018 |
|
535 |
509 |
$3K |
| 73130 |
|
376 |
374 |
$3K |
| 73030 |
|
340 |
327 |
$3K |
| 73110 |
|
273 |
248 |
$2K |
| 76641 |
|
40 |
39 |
$2K |
| 71250 |
|
25 |
25 |
$1K |
| 72100 |
|
117 |
114 |
$1K |
| 76642 |
|
37 |
36 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
25 |
$650.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$644.55 |
| 76536 |
|
25 |
25 |
$521.75 |
| 73562 |
|
38 |
38 |
$464.94 |
| 76830 |
Ultrasound, transvaginal |
15 |
14 |
$391.82 |
| 73502 |
|
40 |
36 |
$281.89 |
| 73590 |
|
13 |
12 |
$90.51 |
| 72170 |
|
12 |
12 |
$69.87 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
41 |
37 |
$0.00 |
| 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) |
1,420 |
1,155 |
$0.00 |