| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
4,220 |
4,129 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
4,498 |
3,011 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
356 |
329 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
825 |
644 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
430 |
413 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
200 |
196 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
257 |
257 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
261 |
260 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
177 |
170 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
51 |
46 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
121 |
118 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
113 |
96 |
$2K |
| 74022 |
|
135 |
133 |
$2K |
| 76641 |
|
66 |
45 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
109 |
106 |
$2K |
| 74178 |
|
28 |
12 |
$2K |
| 71250 |
|
40 |
40 |
$1K |
| 76830 |
Ultrasound, transvaginal |
84 |
84 |
$1K |
| 71020 |
|
111 |
63 |
$906.66 |
| 74018 |
|
95 |
87 |
$678.06 |
| 73221 |
|
13 |
12 |
$519.77 |
| 73630 |
|
105 |
92 |
$486.13 |
| 73562 |
|
104 |
90 |
$461.48 |
| 73030 |
|
100 |
93 |
$435.79 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
29 |
$428.26 |
| 73610 |
|
74 |
68 |
$405.92 |
| 73130 |
|
61 |
58 |
$366.47 |
| 76870 |
|
12 |
12 |
$299.97 |
| 73110 |
|
54 |
47 |
$272.94 |
| 72100 |
|
39 |
38 |
$245.12 |
| 71010 |
|
31 |
22 |
$193.75 |
| 76536 |
|
14 |
14 |
$192.39 |
| 74300 |
|
16 |
16 |
$188.85 |
| 71047 |
|
27 |
27 |
$113.44 |
| 72070 |
|
13 |
13 |
$99.57 |
| 73080 |
|
13 |
12 |
$77.16 |
| 73590 |
|
13 |
12 |
$72.39 |
| 73502 |
|
14 |
14 |
$58.47 |
| 76376 |
|
86 |
86 |
$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) |
815 |
531 |
$0.00 |