| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,105 |
4,662 |
$294K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,959 |
8,115 |
$209K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,060 |
8,480 |
$186K |
| 71045 |
Radiologic examination, chest; single view |
33,539 |
23,466 |
$180K |
| 71046 |
Radiologic examination, chest; 2 views |
15,375 |
14,280 |
$129K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,676 |
5,415 |
$96K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,630 |
1,527 |
$89K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,118 |
1,036 |
$59K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
449 |
427 |
$29K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
952 |
899 |
$23K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
565 |
530 |
$22K |
| 71250 |
|
768 |
721 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,195 |
1,128 |
$21K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
559 |
516 |
$21K |
| 93971 |
|
1,228 |
1,138 |
$16K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
347 |
313 |
$13K |
| 74018 |
|
2,076 |
1,803 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
444 |
417 |
$12K |
| 71271 |
|
274 |
265 |
$8K |
| 93970 |
|
467 |
431 |
$8K |
| 76775 |
|
555 |
508 |
$8K |
| 70498 |
|
169 |
159 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
201 |
182 |
$6K |
| 73630 |
|
1,054 |
884 |
$6K |
| 70496 |
|
127 |
116 |
$6K |
| 73562 |
|
1,022 |
841 |
$5K |
| 78227 |
|
213 |
203 |
$5K |
| 73030 |
|
880 |
774 |
$5K |
| 77066 |
Tomosynthesis, mammo |
208 |
168 |
$5K |
| 72100 |
|
620 |
590 |
$4K |
| 73610 |
|
669 |
591 |
$4K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
121 |
111 |
$4K |
| 72141 |
|
81 |
76 |
$3K |
| 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) |
7,895 |
5,831 |
$3K |
| 72110 |
|
378 |
358 |
$3K |
| 73130 |
|
434 |
380 |
$2K |
| 78226 |
|
92 |
84 |
$2K |
| 73502 |
|
227 |
204 |
$2K |
| 74019 |
|
215 |
201 |
$2K |
| 73110 |
|
277 |
232 |
$1K |
| 72131 |
|
29 |
28 |
$848.94 |
| 73552 |
|
107 |
73 |
$566.68 |
| 73590 |
|
105 |
88 |
$473.56 |
| 72070 |
|
62 |
58 |
$303.33 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$270.76 |
| 72072 |
|
31 |
29 |
$256.07 |
| 76536 |
|
15 |
12 |
$205.88 |
| 72050 |
|
29 |
25 |
$200.10 |
| 72040 |
|
28 |
24 |
$153.38 |
| 73090 |
|
24 |
24 |
$124.17 |
| 7025F |
|
637 |
617 |
$95.60 |
| 74230 |
|
13 |
13 |
$54.78 |
| 3342F |
|
159 |
153 |
$29.22 |
| 77062 |
|
88 |
83 |
$0.00 |