| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,692 |
2,340 |
$371K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,013 |
881 |
$84K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,081 |
935 |
$81K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
352 |
309 |
$39K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,506 |
4,573 |
$37K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,636 |
1,027 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
205 |
174 |
$21K |
| 77002 |
|
402 |
323 |
$20K |
| 73221 |
|
94 |
79 |
$12K |
| 71250 |
|
164 |
142 |
$12K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
2,803 |
1,231 |
$12K |
| 72141 |
|
96 |
90 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
189 |
175 |
$9K |
| 62323 |
|
26 |
26 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
287 |
240 |
$2K |
| 20610 |
|
44 |
42 |
$1K |
| 76536 |
|
15 |
15 |
$1K |
| 93971 |
|
15 |
12 |
$1K |
| 76770 |
|
16 |
12 |
$822.90 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
65 |
59 |
$296.28 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
15 |
12 |
$136.79 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
12 |
12 |
$75.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
29 |
$18.89 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
46 |
41 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
146 |
103 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
35 |
28 |
$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) |
165 |
124 |
$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 |
17 |
14 |
$0.00 |