| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,183 |
6,461 |
$300K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,212 |
7,183 |
$166K |
| 71045 |
Radiologic examination, chest; single view |
43,971 |
32,540 |
$145K |
| 93975 |
|
723 |
645 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
4,998 |
4,517 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
668 |
588 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
219 |
185 |
$15K |
| 76830 |
Ultrasound, transvaginal |
526 |
484 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
261 |
236 |
$13K |
| 74018 |
|
3,360 |
1,586 |
$13K |
| 76801 |
|
366 |
340 |
$11K |
| 76506 |
|
609 |
422 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
476 |
433 |
$9K |
| 93976 |
|
269 |
241 |
$8K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
167 |
143 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
311 |
263 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
153 |
137 |
$7K |
| 73630 |
|
1,040 |
881 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
263 |
243 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
121 |
119 |
$4K |
| 73610 |
|
661 |
611 |
$4K |
| 73562 |
|
441 |
376 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
95 |
89 |
$2K |
| 71250 |
|
104 |
90 |
$2K |
| 73130 |
|
351 |
298 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
79 |
72 |
$2K |
| 73030 |
|
286 |
251 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
75 |
62 |
$2K |
| 73110 |
|
242 |
217 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
42 |
36 |
$1K |
| 74019 |
|
177 |
166 |
$1K |
| 76376 |
|
393 |
322 |
$1K |
| 72100 |
|
169 |
155 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
53 |
50 |
$1K |
| 76377 |
|
35 |
26 |
$728.82 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
26 |
$669.24 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25 |
25 |
$537.24 |
| 73140 |
|
53 |
51 |
$239.24 |
| 76642 |
|
16 |
12 |
$143.06 |
| 72040 |
|
18 |
17 |
$123.06 |
| 73502 |
|
14 |
13 |
$96.54 |
| 73590 |
|
17 |
12 |
$88.04 |
| 73090 |
|
13 |
12 |
$70.12 |
| 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) |
141 |
110 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
52 |
48 |
$0.00 |