| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71275 |
Computed tomographic angiography, chest, with contrast material |
637 |
584 |
$91K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,812 |
1,608 |
$76K |
| 70450 |
Computed tomography, head or brain; without contrast material |
874 |
808 |
$69K |
| 71045 |
Radiologic examination, chest; single view |
1,899 |
1,589 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
1,865 |
1,693 |
$34K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
157 |
140 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
352 |
322 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
129 |
118 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
214 |
197 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
45 |
38 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
28 |
25 |
$809.50 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$409.35 |
| 73030 |
|
41 |
37 |
$361.34 |
| 73130 |
|
53 |
49 |
$298.53 |
| 73110 |
|
46 |
38 |
$293.53 |
| 73630 |
|
46 |
44 |
$244.66 |
| 73564 |
|
14 |
13 |
$115.66 |
| 70486 |
|
13 |
12 |
$57.16 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
26 |
$49.96 |
| 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 |
2,060 |
1,425 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$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) |
2,025 |
1,407 |
$0.00 |