| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
734 |
720 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
2,875 |
2,237 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
580 |
580 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,783 |
1,700 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
579 |
579 |
$15K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
208 |
207 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
342 |
331 |
$12K |
| 93976 |
|
174 |
158 |
$8K |
| 76536 |
|
342 |
339 |
$8K |
| 73630 |
|
862 |
828 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
210 |
208 |
$6K |
| 73610 |
|
550 |
539 |
$5K |
| 76830 |
Ultrasound, transvaginal |
158 |
157 |
$4K |
| 72110 |
|
164 |
163 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
27 |
$2K |
| 71250 |
|
26 |
26 |
$985.86 |
| 73130 |
|
109 |
107 |
$969.19 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
27 |
$954.80 |
| 73030 |
|
105 |
105 |
$897.85 |
| 74019 |
|
91 |
88 |
$885.18 |
| 74018 |
|
98 |
93 |
$702.03 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$571.11 |
| 73110 |
|
51 |
51 |
$428.28 |
| 73564 |
|
12 |
12 |
$121.67 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
169 |
165 |
$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) |
169 |
165 |
$0.00 |