| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
6,569 |
5,851 |
$219K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,012 |
2,703 |
$118K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,134 |
6,207 |
$96K |
| 71046 |
Radiologic examination, chest; 2 views |
9,240 |
8,247 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
13,622 |
11,113 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,503 |
2,334 |
$29K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
628 |
556 |
$15K |
| 71250 |
|
746 |
632 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,123 |
986 |
$10K |
| 72100 |
|
1,968 |
1,768 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
420 |
358 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
418 |
388 |
$8K |
| 73630 |
|
1,998 |
1,694 |
$7K |
| 73562 |
|
1,673 |
1,359 |
$6K |
| 73610 |
|
1,251 |
1,086 |
$5K |
| 73130 |
|
971 |
833 |
$4K |
| 73030 |
|
1,112 |
919 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
110 |
94 |
$3K |
| 70486 |
|
97 |
91 |
$2K |
| 93971 |
|
159 |
149 |
$2K |
| 73110 |
|
372 |
323 |
$1K |
| 74018 |
|
346 |
310 |
$1K |
| 74022 |
|
206 |
181 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
44 |
39 |
$999.55 |
| 73502 |
|
288 |
257 |
$899.76 |
| 72040 |
|
196 |
167 |
$893.44 |
| 76642 |
|
69 |
50 |
$823.27 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$783.33 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
35 |
27 |
$534.50 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$163.47 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$134.44 |
| 73080 |
|
29 |
27 |
$128.39 |
| 77080 |
|
56 |
41 |
$85.00 |
| 73590 |
|
12 |
12 |
$56.20 |
| 73090 |
|
14 |
13 |
$54.59 |
| 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) |
278 |
264 |
$0.00 |