| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
11,725 |
10,844 |
$607K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16,510 |
14,808 |
$373K |
| 71045 |
Radiologic examination, chest; single view |
70,432 |
59,902 |
$344K |
| 93976 |
|
7,557 |
6,940 |
$211K |
| 71046 |
Radiologic examination, chest; 2 views |
24,025 |
22,464 |
$173K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,435 |
2,295 |
$63K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,788 |
1,675 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
793 |
726 |
$36K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
667 |
594 |
$24K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
325 |
294 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
430 |
405 |
$13K |
| 76801 |
|
231 |
205 |
$8K |
| 74018 |
|
1,334 |
1,188 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
381 |
357 |
$7K |
| 73562 |
|
1,051 |
918 |
$6K |
| 73630 |
|
775 |
694 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
124 |
91 |
$4K |
| 72100 |
|
493 |
463 |
$3K |
| 73610 |
|
441 |
408 |
$3K |
| 73130 |
|
328 |
300 |
$2K |
| 93975 |
|
29 |
27 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
63 |
61 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
41 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
22 |
17 |
$741.82 |
| 76642 |
|
32 |
26 |
$679.90 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$618.43 |
| 74019 |
|
55 |
50 |
$421.87 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$364.19 |
| 93971 |
|
27 |
27 |
$342.48 |
| 73030 |
|
52 |
51 |
$313.86 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$293.58 |
| 74246 |
|
13 |
12 |
$248.41 |
| 72040 |
|
32 |
24 |
$221.21 |
| 73110 |
|
27 |
24 |
$158.57 |
| 99152 |
|
29 |
27 |
$145.98 |
| 73502 |
|
19 |
12 |
$105.33 |
| 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) |
628 |
567 |
$0.00 |