| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
21,003 |
16,722 |
$709K |
| 70450 |
Computed tomography, head or brain; without contrast material |
31,420 |
24,153 |
$517K |
| 71045 |
Radiologic examination, chest; single view |
126,277 |
90,614 |
$338K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,994 |
4,679 |
$195K |
| 71046 |
Radiologic examination, chest; 2 views |
27,090 |
20,822 |
$97K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,007 |
843 |
$44K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,749 |
2,115 |
$41K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,817 |
1,545 |
$39K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,055 |
1,659 |
$24K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
349 |
307 |
$21K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
426 |
369 |
$18K |
| 73562 |
|
3,173 |
2,361 |
$17K |
| 93976 |
|
499 |
443 |
$13K |
| 73630 |
|
2,571 |
2,114 |
$13K |
| 76377 |
|
754 |
539 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
574 |
532 |
$10K |
| 76830 |
Ultrasound, transvaginal |
408 |
364 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
594 |
533 |
$9K |
| 74018 |
|
2,495 |
1,932 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
528 |
428 |
$9K |
| 76642 |
|
598 |
444 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
278 |
253 |
$8K |
| 73610 |
|
1,783 |
1,445 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
208 |
175 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
163 |
143 |
$6K |
| 73130 |
|
1,288 |
1,059 |
$6K |
| 73030 |
|
1,155 |
853 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
140 |
117 |
$4K |
| 76801 |
|
114 |
106 |
$4K |
| 71250 |
|
153 |
126 |
$3K |
| 72100 |
|
597 |
494 |
$3K |
| 73221 |
|
61 |
56 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
105 |
97 |
$2K |
| 73110 |
|
448 |
341 |
$2K |
| 76536 |
|
111 |
96 |
$2K |
| 77066 |
Tomosynthesis, mammo |
61 |
55 |
$2K |
| 76770 |
|
85 |
83 |
$2K |
| 73502 |
|
372 |
282 |
$2K |
| 70486 |
|
48 |
41 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
59 |
44 |
$1K |
| 93971 |
|
85 |
76 |
$886.47 |
| 72131 |
|
32 |
25 |
$649.35 |
| 70498 |
|
16 |
12 |
$579.37 |
| 70496 |
|
16 |
12 |
$523.18 |
| 74019 |
|
118 |
94 |
$470.30 |
| 76870 |
|
15 |
13 |
$331.62 |
| 72040 |
|
39 |
37 |
$245.66 |
| 72072 |
|
30 |
24 |
$175.64 |
| 72110 |
|
18 |
17 |
$143.29 |
| 76376 |
|
50 |
40 |
$125.73 |
| 99152 |
|
17 |
12 |
$62.82 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
156 |
145 |
$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) |
3,817 |
3,106 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
30 |
28 |
$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 |
19 |
19 |
$0.00 |