| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,416 |
2,241 |
$116K |
| 71045 |
Radiologic examination, chest; single view |
23,661 |
20,292 |
$89K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,112 |
2,927 |
$73K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
731 |
718 |
$55K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
996 |
925 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
3,308 |
3,229 |
$31K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
982 |
902 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
259 |
243 |
$12K |
| 76642 |
|
215 |
198 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
682 |
668 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
426 |
402 |
$9K |
| 74018 |
|
971 |
898 |
$8K |
| 76830 |
Ultrasound, transvaginal |
104 |
101 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
65 |
63 |
$5K |
| 76536 |
|
56 |
51 |
$3K |
| 77066 |
Tomosynthesis, mammo |
54 |
50 |
$3K |
| 73562 |
|
178 |
145 |
$3K |
| 93970 |
|
48 |
42 |
$1K |
| 72110 |
|
51 |
51 |
$1K |
| 73030 |
|
103 |
94 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$1K |
| 72082 |
|
14 |
14 |
$952.28 |
| 73630 |
|
86 |
78 |
$928.37 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
13 |
$598.53 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
21 |
19 |
$461.30 |
| 76801 |
|
14 |
13 |
$400.79 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
28 |
$395.76 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
16 |
$357.68 |
| 71250 |
|
13 |
12 |
$333.33 |
| 73502 |
|
14 |
14 |
$259.11 |
| 73110 |
|
14 |
13 |
$236.44 |
| 72100 |
|
12 |
12 |
$75.16 |
| 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) |
331 |
231 |
$0.00 |
| 77062 |
|
13 |
13 |
$0.00 |