| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,105 |
4,058 |
$226K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,467 |
7,001 |
$184K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,558 |
3,451 |
$128K |
| 71045 |
Radiologic examination, chest; single view |
15,980 |
12,942 |
$103K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
531 |
530 |
$96K |
| 71046 |
Radiologic examination, chest; 2 views |
11,209 |
11,086 |
$87K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,391 |
1,741 |
$79K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,635 |
2,635 |
$79K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,145 |
2,116 |
$66K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,338 |
2,209 |
$61K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
286 |
274 |
$59K |
| 76830 |
Ultrasound, transvaginal |
1,825 |
1,818 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
512 |
503 |
$27K |
| 76820 |
|
1,356 |
916 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
554 |
554 |
$23K |
| 72131 |
|
774 |
767 |
$22K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
77 |
75 |
$21K |
| 73630 |
|
3,189 |
3,063 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
802 |
802 |
$17K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
291 |
287 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
448 |
419 |
$14K |
| 73610 |
|
1,336 |
1,315 |
$7K |
| 72141 |
|
39 |
39 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
387 |
387 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
190 |
190 |
$6K |
| 72128 |
|
209 |
206 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
46 |
43 |
$6K |
| 73130 |
|
803 |
780 |
$5K |
| 73030 |
|
689 |
674 |
$4K |
| 73564 |
|
491 |
488 |
$4K |
| 70486 |
|
146 |
145 |
$4K |
| 73110 |
|
622 |
597 |
$4K |
| 73221 |
|
16 |
15 |
$3K |
| 76536 |
|
192 |
192 |
$3K |
| 72100 |
|
510 |
506 |
$3K |
| 74018 |
|
356 |
339 |
$2K |
| 73562 |
|
278 |
277 |
$2K |
| 72110 |
|
200 |
200 |
$2K |
| 76641 |
|
61 |
61 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
67 |
67 |
$2K |
| 71250 |
|
56 |
56 |
$2K |
| 93971 |
|
107 |
106 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
52 |
52 |
$1K |
| 73502 |
|
132 |
130 |
$1K |
| 76770 |
|
42 |
41 |
$899.19 |
| 76642 |
|
28 |
28 |
$725.18 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
27 |
$591.60 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
14 |
13 |
$524.84 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$486.96 |
| 77062 |
|
12 |
12 |
$442.17 |
| 72040 |
|
58 |
58 |
$376.73 |
| 73140 |
|
78 |
78 |
$345.54 |
| 93880 |
|
12 |
12 |
$336.40 |
| 77080 |
|
42 |
42 |
$230.37 |
| 74019 |
|
15 |
15 |
$125.36 |
| 73080 |
|
25 |
24 |
$121.94 |
| 73590 |
|
14 |
14 |
$73.78 |
| 76376 |
|
12 |
12 |
$49.85 |
| 73560 |
|
13 |
12 |
$41.53 |
| 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) |
3,482 |
3,176 |
$0.08 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
1,442 |
1,392 |
$0.02 |
| 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 |
299 |
282 |
$0.00 |