| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,160 |
2,477 |
$80K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,546 |
3,320 |
$76K |
| 71046 |
Radiologic examination, chest; 2 views |
12,207 |
9,147 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
17,920 |
11,298 |
$42K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
636 |
608 |
$19K |
| 93976 |
|
1,309 |
1,012 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
636 |
608 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
212 |
170 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
147 |
111 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
272 |
223 |
$3K |
| 76642 |
|
83 |
59 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
114 |
101 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
105 |
83 |
$1K |
| 74018 |
|
396 |
279 |
$1K |
| 76770 |
|
89 |
70 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
13 |
$942.52 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
66 |
57 |
$936.61 |
| 76830 |
Ultrasound, transvaginal |
57 |
52 |
$812.04 |
| 73630 |
|
175 |
137 |
$532.32 |
| 71250 |
|
20 |
12 |
$335.97 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
12 |
$304.47 |
| 73130 |
|
38 |
24 |
$115.35 |
| 73030 |
|
15 |
12 |
$54.47 |
| 73610 |
|
17 |
13 |
$52.79 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,346 |
663 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
25 |
17 |
$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) |
251 |
143 |
$0.00 |