| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,989 |
2,613 |
$105K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,881 |
2,433 |
$105K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,915 |
5,938 |
$91K |
| 71046 |
Radiologic examination, chest; 2 views |
18,046 |
16,000 |
$77K |
| 71045 |
Radiologic examination, chest; single view |
29,837 |
21,279 |
$77K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,250 |
1,119 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,782 |
1,535 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,504 |
1,270 |
$13K |
| 72100 |
|
2,036 |
1,732 |
$8K |
| 73630 |
|
2,084 |
1,696 |
$8K |
| 76642 |
|
432 |
317 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
292 |
270 |
$7K |
| 74018 |
|
1,723 |
1,344 |
$5K |
| 77066 |
Tomosynthesis, mammo |
242 |
209 |
$4K |
| 71250 |
|
321 |
261 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
153 |
138 |
$3K |
| 76801 |
|
96 |
92 |
$3K |
| 73562 |
|
710 |
567 |
$3K |
| 73610 |
|
425 |
374 |
$2K |
| 76830 |
Ultrasound, transvaginal |
78 |
70 |
$2K |
| 73030 |
|
427 |
350 |
$1K |
| 70486 |
|
62 |
56 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
68 |
58 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
104 |
89 |
$1K |
| 73130 |
|
258 |
227 |
$1K |
| 73502 |
|
329 |
258 |
$1K |
| 93971 |
|
145 |
130 |
$1K |
| 77065 |
Tomosynthesis, mammo |
63 |
49 |
$874.21 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
47 |
41 |
$710.67 |
| 76536 |
|
43 |
43 |
$681.86 |
| 93976 |
|
19 |
14 |
$552.83 |
| 74230 |
|
101 |
80 |
$428.22 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$398.32 |
| 73110 |
|
76 |
67 |
$348.89 |
| 76770 |
|
32 |
25 |
$303.02 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
22 |
13 |
$281.94 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18 |
13 |
$234.47 |
| 93880 |
|
16 |
12 |
$195.66 |
| 74019 |
|
28 |
26 |
$158.84 |
| 72050 |
|
27 |
27 |
$129.01 |
| 93970 |
|
21 |
16 |
$93.65 |
| 77080 |
|
21 |
13 |
$21.59 |
| 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) |
741 |
585 |
$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 |
16 |
14 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
37 |
36 |
$0.00 |
| S5170 |
Home delivered meals, including preparation; per meal |
72 |
39 |
$0.00 |