| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,609 |
2,489 |
$143K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,819 |
4,527 |
$67K |
| 71045 |
Radiologic examination, chest; single view |
19,063 |
12,852 |
$63K |
| 76801 |
|
1,267 |
1,090 |
$42K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,107 |
969 |
$35K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,983 |
1,741 |
$35K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
820 |
787 |
$28K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
778 |
646 |
$19K |
| 76770 |
|
734 |
716 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
479 |
462 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
2,086 |
1,957 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
342 |
326 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
883 |
872 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
283 |
274 |
$7K |
| 74018 |
|
826 |
707 |
$4K |
| 71250 |
|
129 |
123 |
$4K |
| 93970 |
|
204 |
192 |
$2K |
| 36573 |
|
31 |
29 |
$1K |
| 74022 |
|
126 |
112 |
$1K |
| 73630 |
|
159 |
135 |
$855.37 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$724.48 |
| 73610 |
|
85 |
78 |
$678.42 |
| 72100 |
|
86 |
82 |
$612.01 |
| 76641 |
|
21 |
14 |
$524.52 |
| 73562 |
|
92 |
81 |
$484.11 |
| 76000 |
|
66 |
62 |
$414.69 |
| 73030 |
|
59 |
55 |
$330.12 |
| 73620 |
|
65 |
51 |
$326.64 |
| 76870 |
|
13 |
12 |
$302.70 |
| 73560 |
|
36 |
27 |
$191.87 |
| 93925 |
|
12 |
12 |
$186.31 |
| 70250 |
|
15 |
15 |
$108.78 |
| 72040 |
|
12 |
12 |
$79.11 |
| 73070 |
|
13 |
12 |
$65.57 |
| 93880 |
|
28 |
28 |
$33.17 |
| G9550 |
Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up |
2,260 |
2,159 |
$0.00 |
| 3341F |
|
123 |
123 |
$0.00 |
| 7025F |
|
546 |
546 |
$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) |
386 |
301 |
$0.00 |
| 3100F |
|
13 |
12 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
608 |
523 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
7,174 |
5,839 |
$0.00 |
| 3342F |
|
340 |
340 |
$0.00 |
| G9556 |
Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended |
767 |
702 |
$0.00 |
| 6045F |
|
27 |
25 |
$0.00 |