| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,171 |
1,145 |
$57K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,351 |
1,311 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
4,457 |
4,259 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
543 |
534 |
$25K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
778 |
775 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,509 |
1,381 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
139 |
137 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
302 |
302 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
260 |
255 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
149 |
146 |
$3K |
| 76830 |
Ultrasound, transvaginal |
115 |
114 |
$2K |
| 73630 |
|
319 |
300 |
$1K |
| 73562 |
|
171 |
157 |
$856.21 |
| 76801 |
|
25 |
24 |
$703.25 |
| 74018 |
|
99 |
91 |
$509.08 |
| 73610 |
|
98 |
97 |
$483.85 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
17 |
17 |
$433.80 |
| 72100 |
|
66 |
64 |
$393.08 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$343.84 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$341.16 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
12 |
$320.85 |
| 73130 |
|
59 |
57 |
$285.17 |
| 93976 |
|
13 |
13 |
$240.76 |
| 73030 |
|
26 |
26 |
$141.25 |
| 73110 |
|
12 |
12 |
$53.71 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
46 |
46 |
$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) |
963 |
835 |
$0.00 |
| 3341F |
|
93 |
88 |
$0.00 |
| 7025F |
|
227 |
221 |
$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 |
14 |
14 |
$0.00 |