| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,555 |
5,247 |
$292K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,515 |
6,901 |
$172K |
| 71045 |
Radiologic examination, chest; single view |
29,188 |
23,079 |
$148K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,893 |
1,795 |
$89K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,730 |
1,688 |
$47K |
| 71046 |
Radiologic examination, chest; 2 views |
5,189 |
4,832 |
$36K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
562 |
531 |
$30K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
852 |
801 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
708 |
700 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
715 |
690 |
$13K |
| 73630 |
|
1,242 |
1,151 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
254 |
239 |
$7K |
| 74018 |
|
1,187 |
939 |
$5K |
| 73564 |
|
724 |
631 |
$5K |
| 76770 |
|
220 |
209 |
$4K |
| 93970 |
|
150 |
133 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
84 |
74 |
$2K |
| 73610 |
|
378 |
353 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
53 |
50 |
$2K |
| 72100 |
|
189 |
185 |
$1K |
| 73130 |
|
211 |
202 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
37 |
$1K |
| 76642 |
|
45 |
45 |
$999.43 |
| 77080 |
|
127 |
122 |
$881.47 |
| 36569 |
|
23 |
12 |
$853.93 |
| 73030 |
|
84 |
77 |
$531.33 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$526.83 |
| 71250 |
|
13 |
12 |
$310.87 |
| 73110 |
|
43 |
40 |
$254.73 |
| 93971 |
|
13 |
12 |
$123.59 |
| 73502 |
|
14 |
12 |
$67.04 |
| 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) |
59 |
59 |
$0.00 |