| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
412 |
370 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
583 |
519 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,131 |
996 |
$5K |
| 76830 |
Ultrasound, transvaginal |
263 |
247 |
$5K |
| 73630 |
|
767 |
592 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
173 |
143 |
$3K |
| 93976 |
|
75 |
70 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
90 |
82 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
400 |
311 |
$1K |
| 73030 |
|
228 |
184 |
$874.41 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
25 |
24 |
$780.27 |
| 73610 |
|
143 |
125 |
$617.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
35 |
30 |
$473.49 |
| 73562 |
|
98 |
80 |
$445.62 |
| 76641 |
|
18 |
14 |
$391.50 |
| 76536 |
|
13 |
13 |
$156.64 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
88 |
79 |
$90.00 |
| 73130 |
|
29 |
26 |
$77.12 |
| 73560 |
|
13 |
12 |
$58.26 |
| 73564 |
|
13 |
12 |
$48.24 |
| 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) |
1,353 |
856 |
$0.00 |
| 7025F |
|
230 |
204 |
$0.00 |
| G9341 |
Search conducted for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive prior to an imaging study being performed |
16 |
12 |
$0.00 |
| G9342 |
Search not conducted prior to an imaging study being performed for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure, authorized, media-free, shared archive, reason not given |
26 |
17 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
71 |
55 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
555 |
409 |
$0.00 |
| 3342F |
|
92 |
80 |
$0.00 |
| 3340F |
|
14 |
14 |
$0.00 |