| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,609 |
4,510 |
$268K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,449 |
6,160 |
$191K |
| 71045 |
Radiologic examination, chest; single view |
25,845 |
22,565 |
$142K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,282 |
1,256 |
$93K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,549 |
3,458 |
$93K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,526 |
3,436 |
$75K |
| 93976 |
|
1,212 |
1,196 |
$61K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
662 |
644 |
$36K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
728 |
703 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
3,704 |
3,663 |
$28K |
| 73564 |
|
2,683 |
2,526 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
772 |
766 |
$22K |
| 76830 |
Ultrasound, transvaginal |
726 |
721 |
$21K |
| 71250 |
|
404 |
394 |
$14K |
| 76642 |
|
529 |
509 |
$13K |
| 73630 |
|
1,829 |
1,762 |
$13K |
| 73030 |
|
1,323 |
1,267 |
$10K |
| 93970 |
|
321 |
310 |
$8K |
| 73130 |
|
1,148 |
1,117 |
$8K |
| 73610 |
|
1,046 |
1,008 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
281 |
274 |
$6K |
| 77066 |
Tomosynthesis, mammo |
163 |
162 |
$5K |
| 93971 |
|
322 |
311 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
90 |
89 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
104 |
103 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
52 |
51 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
68 |
66 |
$2K |
| 70486 |
|
51 |
51 |
$2K |
| 77065 |
Tomosynthesis, mammo |
81 |
79 |
$2K |
| 76376 |
|
259 |
248 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
41 |
40 |
$2K |
| 70496 |
|
26 |
26 |
$2K |
| 77062 |
|
62 |
62 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
95 |
94 |
$2K |
| 73502 |
|
186 |
180 |
$1K |
| 72100 |
|
136 |
135 |
$1K |
| 70498 |
|
15 |
15 |
$1K |
| 74018 |
|
184 |
153 |
$1K |
| 76770 |
|
42 |
42 |
$1K |
| 77061 |
|
36 |
36 |
$911.62 |
| 73110 |
|
106 |
100 |
$731.09 |
| 73560 |
|
89 |
87 |
$700.52 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$600.80 |
| 76536 |
|
13 |
13 |
$370.70 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$300.00 |
| 76775 |
|
12 |
12 |
$261.46 |
| 72040 |
|
12 |
12 |
$107.50 |
| 73080 |
|
12 |
12 |
$93.03 |
| 71010 |
|
12 |
12 |
$90.00 |
| 77080 |
|
15 |
15 |
$67.01 |
| 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) |
1,500 |
1,288 |
$0.00 |