| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,888 |
3,958 |
$159K |
| 71045 |
Radiologic examination, chest; single view |
71,676 |
35,183 |
$156K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13,260 |
9,318 |
$147K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,115 |
1,630 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
7,723 |
5,938 |
$43K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,179 |
2,789 |
$42K |
| 93970 |
|
2,998 |
2,233 |
$29K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,317 |
1,958 |
$27K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
482 |
403 |
$17K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
563 |
474 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
485 |
438 |
$11K |
| 74018 |
|
4,042 |
2,550 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
348 |
307 |
$8K |
| 76770 |
|
873 |
621 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
298 |
289 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
155 |
135 |
$5K |
| 71250 |
|
844 |
526 |
$5K |
| 72131 |
|
164 |
159 |
$4K |
| 76801 |
|
102 |
94 |
$2K |
| 73630 |
|
566 |
495 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
137 |
114 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
76 |
72 |
$2K |
| 73610 |
|
324 |
302 |
$2K |
| 73562 |
|
341 |
300 |
$2K |
| 93971 |
|
148 |
128 |
$1K |
| 76830 |
Ultrasound, transvaginal |
59 |
57 |
$1K |
| 73030 |
|
208 |
192 |
$965.46 |
| 73130 |
|
172 |
154 |
$824.91 |
| 70498 |
|
14 |
14 |
$792.74 |
| 32555 |
|
34 |
15 |
$738.40 |
| 70496 |
|
13 |
13 |
$718.74 |
| 70486 |
|
29 |
29 |
$587.76 |
| 74022 |
|
51 |
49 |
$532.61 |
| 76604 |
|
84 |
49 |
$438.93 |
| 70491 |
|
12 |
12 |
$428.54 |
| 73110 |
|
66 |
65 |
$371.49 |
| 93925 |
|
13 |
13 |
$363.71 |
| 76377 |
|
13 |
12 |
$223.98 |
| 72100 |
|
28 |
28 |
$183.10 |
| 73590 |
|
38 |
38 |
$145.06 |
| 76775 |
|
18 |
13 |
$68.36 |
| 76937 |
|
13 |
12 |
$18.50 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
235 |
182 |
$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) |
1,278 |
908 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
616 |
465 |
$0.00 |