| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
11,351 |
10,599 |
$485K |
| 70450 |
Computed tomography, head or brain; without contrast material |
17,336 |
15,421 |
$288K |
| 71045 |
Radiologic examination, chest; single view |
70,192 |
57,085 |
$251K |
| 71046 |
Radiologic examination, chest; 2 views |
23,215 |
21,647 |
$115K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,744 |
3,675 |
$88K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,639 |
1,494 |
$73K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,565 |
1,478 |
$69K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,441 |
2,321 |
$65K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,362 |
3,168 |
$46K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,348 |
2,294 |
$42K |
| 76830 |
Ultrasound, transvaginal |
2,159 |
2,113 |
$39K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
759 |
724 |
$34K |
| 70496 |
|
736 |
690 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,202 |
1,150 |
$28K |
| 70498 |
|
574 |
544 |
$25K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
584 |
539 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,921 |
2,845 |
$18K |
| 76642 |
|
985 |
786 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
521 |
504 |
$15K |
| 76801 |
|
544 |
484 |
$14K |
| 74018 |
|
2,965 |
2,315 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
298 |
294 |
$10K |
| 76770 |
|
363 |
354 |
$7K |
| 74174 |
|
105 |
103 |
$6K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
470 |
444 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
116 |
111 |
$6K |
| 71250 |
|
198 |
185 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
263 |
231 |
$5K |
| 77066 |
Tomosynthesis, mammo |
176 |
174 |
$5K |
| 73630 |
|
970 |
837 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
272 |
231 |
$4K |
| 73610 |
|
832 |
756 |
$4K |
| 76536 |
|
241 |
237 |
$4K |
| 73030 |
|
574 |
510 |
$3K |
| 70486 |
|
123 |
121 |
$3K |
| 73130 |
|
571 |
496 |
$3K |
| 99152 |
|
570 |
507 |
$3K |
| 93971 |
|
194 |
186 |
$2K |
| 72131 |
|
77 |
76 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
51 |
50 |
$2K |
| 72100 |
|
339 |
335 |
$2K |
| 73562 |
|
403 |
343 |
$2K |
| 73110 |
|
353 |
323 |
$2K |
| 49083 |
|
25 |
14 |
$2K |
| 73502 |
|
218 |
202 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
56 |
56 |
$1K |
| 73564 |
|
150 |
135 |
$991.35 |
| 70491 |
|
26 |
26 |
$969.50 |
| 73590 |
|
211 |
185 |
$958.29 |
| 72158 |
|
14 |
13 |
$923.44 |
| 76870 |
|
51 |
50 |
$901.65 |
| 73080 |
|
152 |
146 |
$784.50 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
40 |
36 |
$783.36 |
| 77065 |
Tomosynthesis, mammo |
33 |
30 |
$740.47 |
| 75561 |
|
13 |
12 |
$728.44 |
| 73140 |
|
183 |
175 |
$713.67 |
| 76882 |
|
31 |
30 |
$523.69 |
| 72040 |
|
82 |
82 |
$519.22 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$507.78 |
| 76506 |
|
37 |
28 |
$506.44 |
| 73560 |
|
104 |
92 |
$501.49 |
| 71271 |
|
16 |
16 |
$497.44 |
| 73090 |
|
102 |
90 |
$467.37 |
| 77001 |
|
45 |
40 |
$346.25 |
| 71101 |
|
37 |
37 |
$285.81 |
| 72170 |
|
45 |
42 |
$233.10 |
| 70355 |
|
31 |
28 |
$170.28 |
| 74019 |
|
23 |
18 |
$155.71 |
| 72110 |
|
27 |
26 |
$154.26 |
| 76937 |
|
15 |
13 |
$72.86 |
| 73660 |
|
13 |
13 |
$51.87 |
| 99053 |
|
14 |
13 |
$29.08 |
| 99153 |
Mod sedat endo service >5yrs |
40 |
26 |
$13.30 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
112 |
103 |
$0.00 |
| 77062 |
|
27 |
27 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
16 |
12 |
$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) |
711 |
575 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
65 |
55 |
$0.00 |