| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
21,378 |
16,447 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
11,522 |
10,342 |
$61K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,877 |
2,379 |
$53K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
741 |
561 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,461 |
1,008 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,008 |
809 |
$13K |
| 93975 |
|
258 |
147 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
325 |
247 |
$8K |
| 76642 |
|
389 |
266 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
760 |
503 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
317 |
194 |
$4K |
| 74018 |
|
1,286 |
901 |
$4K |
| 93976 |
|
93 |
69 |
$3K |
| 77066 |
Tomosynthesis, mammo |
178 |
139 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
39 |
29 |
$2K |
| 76830 |
Ultrasound, transvaginal |
147 |
68 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
54 |
40 |
$774.18 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
12 |
$357.00 |
| 73564 |
|
45 |
38 |
$333.42 |
| 76770 |
|
14 |
12 |
$283.74 |
| 73610 |
|
27 |
24 |
$156.44 |
| 73630 |
|
13 |
12 |
$104.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,011 |
800 |
$46.08 |
| 77062 |
|
66 |
52 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
142 |
120 |
$0.00 |
| 3342F |
|
46 |
28 |
$0.00 |
| 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) |
692 |
568 |
$0.00 |
| 3341F |
|
93 |
57 |
$0.00 |