| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,624 |
1,475 |
$100K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,284 |
1,170 |
$75K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,858 |
1,613 |
$63K |
| 71045 |
Radiologic examination, chest; single view |
4,587 |
3,722 |
$38K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,033 |
987 |
$37K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
691 |
629 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
1,817 |
1,591 |
$24K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
649 |
567 |
$19K |
| 76857 |
|
792 |
707 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
318 |
281 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
426 |
379 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
338 |
300 |
$11K |
| 76830 |
Ultrasound, transvaginal |
224 |
195 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
100 |
91 |
$5K |
| 76801 |
|
110 |
94 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
93 |
84 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
105 |
94 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
38 |
$3K |
| 73630 |
|
386 |
333 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$857.22 |
| 73610 |
|
183 |
162 |
$851.85 |
| 93971 |
|
60 |
49 |
$638.24 |
| 73110 |
|
124 |
102 |
$604.21 |
| 73030 |
|
103 |
80 |
$592.81 |
| 76642 |
|
13 |
12 |
$521.50 |
| 73130 |
|
91 |
77 |
$404.97 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
565 |
537 |
$215.78 |
| 73502 |
|
33 |
25 |
$186.76 |
| 73562 |
|
15 |
12 |
$76.30 |
| 73080 |
|
14 |
13 |
$66.92 |
| 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) |
4,721 |
3,237 |
$0.00 |
| 3341F |
|
119 |
117 |
$0.00 |
| 7025F |
|
313 |
303 |
$0.00 |
| 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 |
375 |
306 |
$0.00 |