| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,548 |
8,053 |
$342K |
| 71045 |
Radiologic examination, chest; single view |
76,325 |
56,402 |
$190K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16,053 |
12,983 |
$181K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,566 |
2,185 |
$82K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,116 |
1,963 |
$41K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,141 |
932 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
6,378 |
5,746 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,192 |
1,074 |
$23K |
| 93976 |
|
579 |
448 |
$18K |
| 76830 |
Ultrasound, transvaginal |
1,842 |
1,713 |
$16K |
| 71250 |
|
622 |
526 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
883 |
707 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
203 |
161 |
$6K |
| 93971 |
|
594 |
509 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
335 |
306 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
251 |
196 |
$4K |
| 74018 |
|
1,230 |
961 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
164 |
153 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
539 |
490 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
63 |
57 |
$3K |
| 72100 |
|
470 |
438 |
$3K |
| 73562 |
|
538 |
426 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
128 |
92 |
$2K |
| 73630 |
|
563 |
459 |
$2K |
| 93975 |
|
38 |
35 |
$2K |
| 93970 |
|
89 |
78 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
57 |
50 |
$1K |
| 76801 |
|
55 |
45 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
40 |
36 |
$976.76 |
| 76642 |
|
46 |
38 |
$641.32 |
| 74240 |
|
38 |
30 |
$629.54 |
| 76770 |
|
66 |
52 |
$622.41 |
| 72040 |
|
100 |
84 |
$592.31 |
| 74230 |
|
63 |
54 |
$442.48 |
| 77080 |
|
120 |
103 |
$366.32 |
| 73030 |
|
95 |
77 |
$342.21 |
| 73620 |
|
135 |
93 |
$278.32 |
| 76536 |
|
12 |
12 |
$197.61 |
| 77066 |
Tomosynthesis, mammo |
18 |
14 |
$128.07 |
| 70496 |
|
16 |
12 |
$116.10 |
| 73120 |
|
40 |
18 |
$115.82 |
| 72110 |
|
13 |
13 |
$105.01 |
| 73130 |
|
13 |
12 |
$60.32 |
| 73610 |
|
18 |
12 |
$59.79 |
| 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) |
234 |
143 |
$0.00 |