| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
23,035 |
15,343 |
$77K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,490 |
1,231 |
$59K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,743 |
2,930 |
$46K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,409 |
1,214 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
807 |
634 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
457 |
424 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,305 |
1,115 |
$7K |
| 74018 |
|
1,466 |
1,149 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
133 |
114 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
358 |
282 |
$5K |
| 72100 |
|
853 |
717 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
95 |
80 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
82 |
65 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
74 |
49 |
$1K |
| 73610 |
|
129 |
108 |
$710.57 |
| 73630 |
|
169 |
131 |
$649.39 |
| 73030 |
|
107 |
88 |
$507.19 |
| 76770 |
|
65 |
53 |
$450.28 |
| 73564 |
|
69 |
53 |
$447.75 |
| 73502 |
|
85 |
66 |
$428.46 |
| 73130 |
|
48 |
40 |
$275.32 |
| 73562 |
|
16 |
14 |
$90.49 |
| 73120 |
|
14 |
13 |
$84.12 |
| 73110 |
|
13 |
12 |
$80.30 |
| 72220 |
|
15 |
14 |
$66.60 |
| 72070 |
|
17 |
12 |
$57.32 |
| 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) |
3,829 |
2,616 |
$0.00 |
| 7025F |
|
39 |
39 |
$0.00 |
| 3342F |
|
25 |
25 |
$0.00 |