| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,369 |
2,234 |
$144K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,312 |
1,251 |
$62K |
| 71045 |
Radiologic examination, chest; single view |
9,082 |
7,774 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
5,574 |
5,151 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
514 |
500 |
$20K |
| 73630 |
|
1,634 |
1,430 |
$18K |
| 71271 |
|
475 |
430 |
$15K |
| 73610 |
|
979 |
867 |
$15K |
| 72100 |
|
744 |
721 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
369 |
364 |
$8K |
| 73030 |
|
743 |
673 |
$8K |
| 73130 |
|
723 |
605 |
$7K |
| 73564 |
|
406 |
313 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
194 |
177 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
61 |
57 |
$6K |
| 73110 |
|
450 |
416 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
154 |
127 |
$5K |
| 74018 |
|
805 |
744 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
50 |
50 |
$3K |
| 73560 |
|
276 |
254 |
$2K |
| 76830 |
Ultrasound, transvaginal |
44 |
38 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
34 |
28 |
$1K |
| 73502 |
|
193 |
178 |
$1K |
| 73562 |
|
109 |
98 |
$1K |
| 76801 |
|
17 |
16 |
$1K |
| 76770 |
|
27 |
27 |
$962.56 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
36 |
24 |
$886.35 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$748.27 |
| 72040 |
|
40 |
38 |
$711.04 |
| 93971 |
|
29 |
24 |
$526.22 |
| 71250 |
|
27 |
27 |
$493.81 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
12 |
$406.05 |
| 72110 |
|
16 |
16 |
$286.84 |
| 73140 |
|
26 |
25 |
$254.20 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
22 |
13 |
$4.62 |
| 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) |
1,016 |
925 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
380 |
366 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
35 |
35 |
$0.00 |