| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
15,076 |
13,877 |
$291K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,464 |
4,994 |
$257K |
| 71045 |
Radiologic examination, chest; single view |
55,358 |
44,701 |
$216K |
| 71046 |
Radiologic examination, chest; 2 views |
25,012 |
23,221 |
$165K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,243 |
2,020 |
$84K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,306 |
1,126 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,200 |
974 |
$18K |
| 74018 |
|
3,254 |
2,766 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
719 |
665 |
$15K |
| 93976 |
|
987 |
789 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
678 |
615 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
276 |
257 |
$14K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
519 |
480 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
351 |
318 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
616 |
514 |
$11K |
| 76770 |
|
564 |
536 |
$11K |
| 71250 |
|
571 |
542 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
359 |
340 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
149 |
132 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
140 |
136 |
$7K |
| 73630 |
|
1,133 |
984 |
$5K |
| 73560 |
|
1,186 |
978 |
$5K |
| 76536 |
|
261 |
248 |
$5K |
| 73610 |
|
966 |
845 |
$5K |
| 72100 |
|
814 |
727 |
$4K |
| 73130 |
|
793 |
662 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
83 |
79 |
$4K |
| 70486 |
|
156 |
138 |
$4K |
| 74178 |
|
94 |
78 |
$4K |
| 73030 |
|
720 |
632 |
$4K |
| 73110 |
|
552 |
465 |
$3K |
| 72040 |
|
331 |
308 |
$2K |
| 74022 |
|
196 |
187 |
$2K |
| 73590 |
|
386 |
327 |
$2K |
| 93975 |
|
77 |
51 |
$2K |
| 73502 |
|
309 |
278 |
$2K |
| 76830 |
Ultrasound, transvaginal |
72 |
67 |
$2K |
| 36573 |
|
66 |
65 |
$1K |
| 93971 |
|
120 |
109 |
$1K |
| 73090 |
|
230 |
207 |
$1K |
| 73070 |
|
221 |
191 |
$1K |
| 76801 |
|
34 |
32 |
$1K |
| 73221 |
|
15 |
13 |
$777.51 |
| 76642 |
|
33 |
26 |
$676.89 |
| 73140 |
|
132 |
122 |
$632.22 |
| 72141 |
|
13 |
13 |
$599.28 |
| 73562 |
|
97 |
87 |
$591.61 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
33 |
26 |
$586.99 |
| 76870 |
|
27 |
26 |
$511.50 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$433.86 |
| 36569 |
|
16 |
16 |
$388.47 |
| 77001 |
|
91 |
77 |
$340.19 |
| 72131 |
|
15 |
13 |
$321.38 |
| 99152 |
|
12 |
12 |
$294.40 |
| 72082 |
|
26 |
25 |
$280.36 |
| 73620 |
|
46 |
39 |
$256.92 |
| 74019 |
|
27 |
26 |
$230.54 |
| 73552 |
|
31 |
25 |
$214.21 |
| 76937 |
|
61 |
60 |
$211.00 |
| 70360 |
|
24 |
24 |
$156.18 |
| 72170 |
|
16 |
14 |
$79.72 |
| 73120 |
|
18 |
12 |
$64.26 |
| 76376 |
|
77 |
64 |
$8.58 |
| 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) |
2,795 |
2,199 |
$4.73 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
588 |
533 |
$0.00 |