| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
997 |
922 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,287 |
1,683 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
710 |
695 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
111 |
108 |
$2K |
| 20610 |
|
693 |
540 |
$2K |
| 20552 |
|
243 |
241 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
102 |
102 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
399 |
382 |
$931.15 |
| 71010 |
|
81 |
58 |
$510.00 |
| 74018 |
|
184 |
145 |
$424.75 |
| 93970 |
|
16 |
13 |
$261.97 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
49 |
48 |
$236.23 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$179.88 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
14 |
$128.70 |
| 73562 |
|
38 |
36 |
$91.30 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
388 |
380 |
$76.33 |
| 93971 |
|
12 |
12 |
$74.40 |
| 73030 |
|
28 |
27 |
$73.46 |
| 73560 |
|
14 |
12 |
$58.76 |
| 73502 |
|
30 |
29 |
$41.97 |
| 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) |
533 |
459 |
$0.00 |
| 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 |
143 |
142 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
511 |
492 |
$0.00 |
| J7325 |
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg |
202 |
100 |
$0.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
30 |
27 |
$0.00 |
| 99152 |
|
17 |
13 |
$0.00 |