| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
548 |
517 |
$95K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,128 |
1,056 |
$58K |
| 70450 |
Computed tomography, head or brain; without contrast material |
879 |
806 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
4,480 |
4,209 |
$36K |
| 73221 |
|
116 |
112 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
3,712 |
3,136 |
$14K |
| 73630 |
|
686 |
615 |
$9K |
| 74018 |
|
1,062 |
974 |
$7K |
| 72100 |
|
434 |
413 |
$7K |
| 73610 |
|
391 |
349 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
60 |
55 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
157 |
151 |
$6K |
| 73130 |
|
475 |
419 |
$6K |
| 73030 |
|
400 |
363 |
$5K |
| 73110 |
|
201 |
185 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
81 |
76 |
$3K |
| 73562 |
|
128 |
117 |
$2K |
| 71250 |
|
44 |
41 |
$2K |
| 73502 |
|
99 |
96 |
$1K |
| 73560 |
|
60 |
53 |
$620.34 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
26 |
$550.54 |
| 73564 |
|
14 |
14 |
$322.20 |
| 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) |
609 |
541 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
236 |
224 |
$0.00 |