| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,335 |
4,342 |
$238K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,137 |
8,192 |
$156K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,952 |
4,083 |
$98K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,142 |
911 |
$68K |
| 71046 |
Radiologic examination, chest; 2 views |
13,434 |
11,460 |
$67K |
| 71045 |
Radiologic examination, chest; single view |
15,780 |
10,277 |
$47K |
| 71271 |
|
682 |
592 |
$27K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
988 |
823 |
$27K |
| 76642 |
|
953 |
739 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
538 |
466 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
213 |
182 |
$8K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
517 |
414 |
$8K |
| 73630 |
|
1,781 |
1,381 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
284 |
265 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
171 |
142 |
$6K |
| 76830 |
Ultrasound, transvaginal |
233 |
214 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
130 |
115 |
$5K |
| 93976 |
|
149 |
142 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
140 |
107 |
$4K |
| 71250 |
|
198 |
166 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
141 |
108 |
$4K |
| 73030 |
|
729 |
609 |
$4K |
| 74018 |
|
865 |
651 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
63 |
57 |
$3K |
| 73562 |
|
375 |
316 |
$2K |
| 72100 |
|
359 |
308 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
8,148 |
7,316 |
$2K |
| 73610 |
|
404 |
347 |
$2K |
| 77066 |
Tomosynthesis, mammo |
70 |
66 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
52 |
44 |
$2K |
| 93971 |
|
188 |
143 |
$2K |
| 99152 |
|
159 |
90 |
$1K |
| 73130 |
|
234 |
206 |
$1K |
| 77065 |
Tomosynthesis, mammo |
68 |
55 |
$1K |
| 70496 |
|
28 |
25 |
$1K |
| 72141 |
|
36 |
24 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
165 |
88 |
$812.31 |
| 76376 |
|
1,291 |
987 |
$505.55 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
13 |
$392.96 |
| 73564 |
|
46 |
38 |
$327.73 |
| 70486 |
|
12 |
12 |
$317.58 |
| 70498 |
|
13 |
12 |
$279.02 |
| 73502 |
|
30 |
28 |
$177.21 |
| 77080 |
|
44 |
41 |
$138.80 |
| 73110 |
|
16 |
13 |
$81.20 |
| 77061 |
|
28 |
26 |
$51.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
139 |
103 |
$0.00 |
| 77062 |
|
12 |
12 |
$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) |
690 |
482 |
$0.00 |
| 7025F |
|
14 |
12 |
$0.00 |