| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74183 |
|
3,893 |
3,888 |
$1.42M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,566 |
1,552 |
$506K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,382 |
2,368 |
$374K |
| 71250 |
|
2,422 |
2,416 |
$289K |
| 71046 |
Radiologic examination, chest; 2 views |
17,471 |
17,281 |
$235K |
| 72197 |
|
477 |
473 |
$164K |
| A9581 |
Injection, gadoxetate disodium, 1 ml |
1,481 |
1,453 |
$145K |
| 76770 |
|
1,418 |
1,406 |
$145K |
| 76830 |
Ultrasound, transvaginal |
960 |
957 |
$119K |
| 71045 |
Radiologic examination, chest; single view |
13,239 |
8,947 |
$111K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,197 |
2,096 |
$74K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,966 |
1,966 |
$73K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
3,277 |
3,166 |
$60K |
| 70491 |
|
224 |
219 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
617 |
612 |
$35K |
| 70486 |
|
274 |
274 |
$34K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
222 |
222 |
$29K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,990 |
2,807 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
936 |
936 |
$27K |
| 70543 |
|
67 |
65 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
182 |
182 |
$16K |
| 93975 |
|
63 |
62 |
$15K |
| 71271 |
|
155 |
155 |
$15K |
| 77080 |
|
876 |
876 |
$15K |
| A9573 |
Injection, gadopiclenol, 1 ml |
446 |
438 |
$13K |
| 77085 |
|
149 |
149 |
$9K |
| 77072 |
|
353 |
351 |
$9K |
| 74018 |
|
424 |
333 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
54 |
53 |
$6K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
12 |
12 |
$3K |
| 70480 |
|
12 |
12 |
$2K |
| 73562 |
|
167 |
167 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 73564 |
|
104 |
103 |
$2K |
| 73620 |
|
130 |
126 |
$1K |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
25 |
25 |
$472.12 |
| 73630 |
|
39 |
37 |
$376.11 |
| 73130 |
|
31 |
26 |
$356.77 |
| 73030 |
|
29 |
29 |
$330.61 |
| 72100 |
|
12 |
12 |
$238.94 |
| 82565 |
|
27 |
27 |
$126.86 |
| 73120 |
|
14 |
12 |
$124.73 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
6,013 |
5,955 |
$2.41 |
| 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) |
9,368 |
9,195 |
$0.34 |
| 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 |
431 |
426 |
$0.14 |
| G9638 |
Final reports without 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) |
177 |
177 |
$0.02 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
1,068 |
1,047 |
$0.00 |
| G9318 |
Imaging study named according to standardized nomenclature |
242 |
241 |
$0.00 |