| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,491 |
2,138 |
$86K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,187 |
1,894 |
$61K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,481 |
2,981 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
5,370 |
4,689 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
7,478 |
6,089 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
677 |
587 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
653 |
538 |
$10K |
| 73630 |
|
2,183 |
1,796 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
619 |
551 |
$6K |
| 73610 |
|
1,644 |
1,362 |
$6K |
| 73562 |
|
1,324 |
1,001 |
$4K |
| 73130 |
|
1,024 |
802 |
$4K |
| 73030 |
|
1,028 |
858 |
$3K |
| 72110 |
|
589 |
519 |
$3K |
| 73110 |
|
820 |
639 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
283 |
252 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
154 |
146 |
$2K |
| 76830 |
Ultrasound, transvaginal |
119 |
100 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
69 |
63 |
$1K |
| 71250 |
|
79 |
68 |
$1K |
| 73502 |
|
227 |
197 |
$757.25 |
| 72100 |
|
243 |
196 |
$726.08 |
| 74018 |
|
185 |
162 |
$692.12 |
| 93971 |
|
58 |
55 |
$539.74 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
15 |
$317.12 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
20 |
15 |
$278.35 |
| 73560 |
|
76 |
54 |
$179.05 |
| 73590 |
|
38 |
31 |
$120.59 |
| 73140 |
|
17 |
13 |
$65.15 |
| 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) |
279 |
256 |
$0.00 |