| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
540 |
484 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
824 |
718 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
3,459 |
2,766 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,811 |
2,130 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
734 |
644 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
412 |
363 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
287 |
247 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
81 |
72 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
113 |
102 |
$3K |
| 76830 |
Ultrasound, transvaginal |
77 |
73 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
69 |
52 |
$2K |
| 76801 |
|
30 |
27 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$653.18 |
| 73564 |
|
80 |
66 |
$653.10 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
45 |
40 |
$580.42 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$450.88 |
| 73562 |
|
46 |
41 |
$371.85 |
| 73130 |
|
51 |
44 |
$371.30 |
| 73610 |
|
48 |
39 |
$289.94 |
| 73630 |
|
45 |
38 |
$289.15 |
| 73030 |
|
29 |
26 |
$183.60 |
| G9638 |
Final reports without 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) |
2,017 |
1,546 |
$0.00 |
| 7025F |
|
74 |
68 |
$0.00 |
| 3341F |
|
40 |
39 |
$0.00 |