| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,226 |
1,078 |
$78K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,302 |
1,218 |
$74K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
853 |
703 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
4,743 |
4,403 |
$38K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
320 |
305 |
$27K |
| 76830 |
Ultrasound, transvaginal |
425 |
412 |
$22K |
| 73630 |
|
928 |
845 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
4,248 |
3,049 |
$14K |
| 73610 |
|
722 |
671 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
246 |
219 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
143 |
139 |
$9K |
| 74018 |
|
794 |
736 |
$7K |
| 73030 |
|
484 |
433 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
98 |
90 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
165 |
118 |
$5K |
| 73564 |
|
251 |
239 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
154 |
148 |
$4K |
| 72100 |
|
284 |
267 |
$4K |
| 73110 |
|
260 |
228 |
$4K |
| 73130 |
|
239 |
193 |
$3K |
| 73562 |
|
217 |
200 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
79 |
76 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
66 |
53 |
$3K |
| 71250 |
|
54 |
51 |
$2K |
| 76642 |
|
39 |
31 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
61 |
50 |
$2K |
| 76770 |
|
38 |
38 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$2K |
| 73502 |
|
118 |
113 |
$1K |
| 93971 |
|
25 |
25 |
$715.23 |
| 76801 |
|
13 |
13 |
$688.82 |
| 72040 |
|
43 |
40 |
$636.01 |
| 73560 |
|
19 |
12 |
$202.85 |
| 72072 |
|
14 |
14 |
$166.19 |
| 73590 |
|
14 |
12 |
$161.68 |
| 73140 |
|
12 |
12 |
$159.96 |
| 72020 |
|
13 |
13 |
$158.48 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
61 |
61 |
$45.19 |
| 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) |
401 |
297 |
$0.00 |