| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
17,584 |
16,686 |
$438K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
10,930 |
10,423 |
$345K |
| 71045 |
Radiologic examination, chest; single view |
68,387 |
57,638 |
$215K |
| 71046 |
Radiologic examination, chest; 2 views |
27,425 |
26,521 |
$134K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,707 |
2,574 |
$77K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,765 |
1,681 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
390 |
376 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
735 |
723 |
$10K |
| 76830 |
Ultrasound, transvaginal |
266 |
260 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
569 |
554 |
$6K |
| 93970 |
|
335 |
314 |
$5K |
| 73630 |
|
937 |
903 |
$4K |
| 93971 |
|
396 |
381 |
$4K |
| 73610 |
|
663 |
639 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
119 |
111 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
77 |
77 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
95 |
92 |
$2K |
| 74018 |
|
443 |
406 |
$2K |
| 73130 |
|
322 |
314 |
$2K |
| 93976 |
|
69 |
67 |
$1K |
| 73562 |
|
270 |
259 |
$1K |
| 73030 |
|
266 |
253 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
114 |
31 |
$989.88 |
| 71250 |
|
40 |
39 |
$843.47 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$827.09 |
| 74240 |
|
26 |
25 |
$469.23 |
| 76642 |
|
31 |
31 |
$428.82 |
| 72100 |
|
70 |
67 |
$410.68 |
| 76536 |
|
30 |
30 |
$399.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$396.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$389.04 |
| 72110 |
|
52 |
51 |
$355.15 |
| 73564 |
|
55 |
48 |
$328.31 |
| 74220 |
|
18 |
18 |
$210.55 |
| 76775 |
|
17 |
16 |
$198.35 |
| 73110 |
|
31 |
30 |
$155.52 |
| 73140 |
|
31 |
31 |
$101.52 |
| 76937 |
|
15 |
12 |
$96.81 |
| 73590 |
|
15 |
14 |
$57.24 |
| 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) |
1,813 |
1,574 |
$0.00 |