| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,660 |
1,533 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
5,688 |
5,280 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
816 |
768 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,672 |
1,540 |
$23K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
683 |
612 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
526 |
481 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,205 |
1,574 |
$5K |
| 76642 |
|
343 |
268 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
127 |
115 |
$3K |
| 93975 |
|
72 |
62 |
$3K |
| 76770 |
|
244 |
220 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
125 |
119 |
$3K |
| 93971 |
|
316 |
278 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
79 |
77 |
$2K |
| 71250 |
|
168 |
157 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
76 |
72 |
$2K |
| 73564 |
|
484 |
391 |
$2K |
| 76830 |
Ultrasound, transvaginal |
123 |
115 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
60 |
56 |
$2K |
| 73630 |
|
479 |
381 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
90 |
81 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
45 |
43 |
$1K |
| 73030 |
|
279 |
236 |
$918.48 |
| 76536 |
|
73 |
69 |
$898.24 |
| 73610 |
|
238 |
216 |
$885.76 |
| 72110 |
|
135 |
133 |
$880.76 |
| 77066 |
Tomosynthesis, mammo |
48 |
43 |
$841.34 |
| 77001 |
|
158 |
145 |
$698.41 |
| 93970 |
|
71 |
63 |
$575.96 |
| 76937 |
|
129 |
124 |
$511.30 |
| 73130 |
|
148 |
121 |
$498.82 |
| 73221 |
|
17 |
16 |
$474.12 |
| 36569 |
|
17 |
16 |
$442.56 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
25 |
$400.66 |
| 77065 |
Tomosynthesis, mammo |
26 |
24 |
$356.48 |
| 72141 |
|
16 |
13 |
$328.65 |
| 72100 |
|
57 |
52 |
$266.50 |
| 74018 |
|
66 |
50 |
$238.56 |
| 73110 |
|
47 |
40 |
$189.44 |
| 99152 |
|
12 |
12 |
$184.15 |
| 73502 |
|
26 |
24 |
$97.58 |
| 72040 |
|
14 |
13 |
$65.00 |
| 73140 |
|
13 |
13 |
$31.44 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
46 |
42 |
$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) |
2,405 |
1,950 |
$0.00 |