| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
63,664 |
46,900 |
$160K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,962 |
8,661 |
$120K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,061 |
2,490 |
$113K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,440 |
2,032 |
$73K |
| 71046 |
Radiologic examination, chest; 2 views |
7,685 |
6,638 |
$41K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,149 |
929 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
260 |
220 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
318 |
253 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
143 |
129 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
93 |
80 |
$2K |
| 74018 |
|
358 |
293 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
104 |
89 |
$1K |
| 71250 |
|
65 |
58 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
30 |
26 |
$548.86 |
| 93976 |
|
12 |
12 |
$441.24 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
73 |
68 |
$437.35 |
| 76801 |
|
14 |
13 |
$432.78 |
| 70498 |
|
18 |
14 |
$425.70 |
| 70496 |
|
18 |
13 |
$348.67 |
| 93975 |
|
27 |
12 |
$256.02 |
| 73630 |
|
100 |
77 |
$254.55 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$203.16 |
| 73030 |
|
39 |
38 |
$185.80 |
| 73610 |
|
40 |
37 |
$172.68 |
| 76770 |
|
14 |
13 |
$166.76 |
| 73562 |
|
26 |
24 |
$150.72 |
| 76642 |
|
16 |
12 |
$143.10 |
| 73130 |
|
15 |
12 |
$57.72 |
| 99152 |
|
16 |
12 |
$30.52 |
| 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) |
325 |
219 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
17 |
15 |
$0.00 |