| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,770 |
3,634 |
$105K |
| 71045 |
Radiologic examination, chest; single view |
17,525 |
15,999 |
$63K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,851 |
1,771 |
$51K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,215 |
1,181 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
5,652 |
5,478 |
$28K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
298 |
297 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
125 |
121 |
$4K |
| 93976 |
|
143 |
138 |
$3K |
| 76642 |
|
106 |
105 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
36 |
36 |
$2K |
| 74018 |
|
399 |
366 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
37 |
37 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
54 |
52 |
$833.57 |
| 71250 |
|
26 |
26 |
$554.75 |
| 99152 |
|
15 |
12 |
$482.81 |
| 72100 |
|
74 |
67 |
$398.58 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$379.90 |
| 77066 |
Tomosynthesis, mammo |
15 |
15 |
$356.33 |
| 73562 |
|
49 |
46 |
$254.72 |
| 73630 |
|
39 |
37 |
$195.81 |
| 99153 |
Mod sedat endo service >5yrs |
15 |
12 |
$154.25 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$151.74 |
| 73030 |
|
27 |
25 |
$150.66 |
| 73610 |
|
28 |
25 |
$140.38 |
| 74019 |
|
12 |
12 |
$57.24 |
| 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) |
116 |
95 |
$0.00 |
| G9318 |
Imaging study named according to standardized nomenclature |
26 |
25 |
$0.00 |