| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
646 |
563 |
$48K |
| 70450 |
Computed tomography, head or brain; without contrast material |
719 |
593 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
291 |
253 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,445 |
1,852 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,524 |
1,498 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
291 |
277 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
56 |
54 |
$4K |
| 76801 |
|
95 |
91 |
$3K |
| 73130 |
|
168 |
161 |
$2K |
| 73630 |
|
187 |
176 |
$2K |
| 73562 |
|
173 |
156 |
$2K |
| 73610 |
|
162 |
154 |
$1K |
| 73030 |
|
179 |
147 |
$1K |
| 72110 |
|
84 |
73 |
$1K |
| 70486 |
|
13 |
13 |
$954.64 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$839.57 |
| 76770 |
|
44 |
41 |
$808.35 |
| 76937 |
|
96 |
80 |
$796.18 |
| 36569 |
|
18 |
15 |
$643.15 |
| 93970 |
|
15 |
15 |
$574.08 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$495.00 |
| 71250 |
|
13 |
12 |
$478.44 |
| 73110 |
|
28 |
26 |
$265.20 |
| 93971 |
|
13 |
13 |
$254.84 |
| 73590 |
|
27 |
26 |
$218.52 |
| 72050 |
|
12 |
12 |
$196.56 |
| 73140 |
|
28 |
26 |
$180.79 |
| 74019 |
|
13 |
13 |
$141.99 |
| 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) |
39 |
14 |
$0.00 |
| G9638 |
Final reports without 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) |
184 |
59 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
78 |
25 |
$0.00 |