| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
565 |
475 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
396 |
325 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
658 |
546 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,317 |
1,155 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
191 |
176 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,914 |
1,450 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
300 |
253 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
111 |
96 |
$2K |
| 73562 |
|
423 |
340 |
$1K |
| 76830 |
Ultrasound, transvaginal |
91 |
82 |
$1K |
| 74018 |
|
268 |
219 |
$935.60 |
| 73610 |
|
210 |
154 |
$795.62 |
| 73030 |
|
192 |
160 |
$623.29 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$503.09 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
31 |
28 |
$428.84 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
19 |
15 |
$374.53 |
| 73130 |
|
64 |
51 |
$255.73 |
| 73630 |
|
84 |
64 |
$231.50 |
| 74019 |
|
30 |
24 |
$147.53 |
| 73100 |
|
24 |
14 |
$85.92 |
| 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) |
1,079 |
732 |
$0.01 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
101 |
82 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
372 |
315 |
$0.00 |