| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
495 |
468 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
846 |
769 |
$24K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
499 |
456 |
$15K |
| 76830 |
Ultrasound, transvaginal |
345 |
324 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
344 |
318 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,993 |
2,442 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
204 |
193 |
$8K |
| 76801 |
|
194 |
173 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
168 |
164 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
186 |
161 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
876 |
833 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
239 |
232 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
66 |
$2K |
| 76536 |
|
43 |
43 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$778.10 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
19 |
19 |
$568.98 |
| 74018 |
|
76 |
72 |
$211.61 |
| 73610 |
|
15 |
15 |
$197.00 |
| 73630 |
|
12 |
12 |
$104.97 |
| 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) |
158 |
142 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
203 |
186 |
$0.00 |