| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,399 |
1,241 |
$91K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,148 |
1,033 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,127 |
1,100 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
4,189 |
3,478 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,037 |
1,863 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
376 |
368 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
262 |
257 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
59 |
53 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
155 |
147 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
188 |
183 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
35 |
24 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
77 |
67 |
$3K |
| 76830 |
Ultrasound, transvaginal |
52 |
52 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
90 |
86 |
$2K |
| 73610 |
|
72 |
71 |
$944.41 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
33 |
24 |
$770.11 |
| 73630 |
|
74 |
72 |
$733.97 |
| 73562 |
|
49 |
39 |
$574.27 |
| 70486 |
|
14 |
14 |
$557.62 |
| 93975 |
|
15 |
13 |
$479.71 |
| 76801 |
|
12 |
12 |
$371.04 |
| 73030 |
|
31 |
27 |
$333.67 |
| 74018 |
|
57 |
55 |
$298.12 |
| 93976 |
|
12 |
12 |
$265.87 |
| 73130 |
|
21 |
13 |
$193.90 |
| 73080 |
|
15 |
15 |
$161.25 |
| 72100 |
|
13 |
13 |
$149.65 |
| 73110 |
|
14 |
14 |
$146.08 |
| 93971 |
|
12 |
12 |
$94.43 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
468 |
391 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
344 |
294 |
$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) |
1,182 |
827 |
$0.00 |