| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,577 |
4,423 |
$263K |
| 70450 |
Computed tomography, head or brain; without contrast material |
17,359 |
16,152 |
$261K |
| 71045 |
Radiologic examination, chest; single view |
93,556 |
78,974 |
$240K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,362 |
3,208 |
$152K |
| 71046 |
Radiologic examination, chest; 2 views |
16,717 |
15,759 |
$87K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,641 |
1,637 |
$68K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,637 |
1,601 |
$53K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
807 |
776 |
$44K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,126 |
1,100 |
$29K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,163 |
1,104 |
$26K |
| 73221 |
|
348 |
344 |
$19K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
402 |
402 |
$19K |
| 76642 |
|
764 |
659 |
$16K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
187 |
187 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
340 |
340 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
129 |
129 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
134 |
134 |
$7K |
| 73630 |
|
807 |
789 |
$5K |
| 74018 |
|
732 |
686 |
$5K |
| 76801 |
|
102 |
102 |
$4K |
| 73130 |
|
516 |
505 |
$4K |
| 73610 |
|
520 |
516 |
$4K |
| 72141 |
|
45 |
45 |
$3K |
| 73562 |
|
436 |
355 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
82 |
81 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
92 |
89 |
$3K |
| 72100 |
|
354 |
322 |
$2K |
| 77066 |
Tomosynthesis, mammo |
62 |
62 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
72 |
72 |
$2K |
| 73030 |
|
233 |
214 |
$1K |
| 73110 |
|
190 |
187 |
$1K |
| 72146 |
|
19 |
19 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
40 |
40 |
$1K |
| 71250 |
|
61 |
41 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
25 |
$966.37 |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$747.25 |
| 93976 |
|
17 |
14 |
$520.07 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
33 |
26 |
$499.67 |
| 93971 |
|
38 |
38 |
$478.17 |
| 72040 |
|
29 |
29 |
$230.05 |
| 73502 |
|
37 |
37 |
$184.14 |
| 74019 |
|
12 |
12 |
$85.26 |
| 73090 |
|
12 |
12 |
$79.31 |
| 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) |
343 |
275 |
$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 |
24 |
24 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
17 |
14 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
91 |
82 |
$0.00 |