| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,299 |
1,229 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
427 |
403 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,956 |
1,895 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
471 |
448 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
531 |
488 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
577 |
544 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
201 |
193 |
$8K |
| 72100 |
|
941 |
916 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,131 |
917 |
$5K |
| 72110 |
|
593 |
576 |
$5K |
| 72020 |
|
999 |
973 |
$4K |
| 76981 |
|
126 |
122 |
$2K |
| 93976 |
|
76 |
70 |
$1K |
| 73564 |
|
207 |
160 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
26 |
25 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
40 |
$1K |
| 76642 |
|
60 |
51 |
$966.32 |
| 73030 |
|
137 |
125 |
$743.70 |
| 77066 |
Tomosynthesis, mammo |
29 |
28 |
$729.21 |
| 72050 |
|
69 |
67 |
$592.63 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$592.19 |
| 73630 |
|
92 |
85 |
$557.52 |
| 73562 |
|
46 |
39 |
$315.54 |
| 74018 |
|
66 |
63 |
$295.51 |
| 73610 |
|
41 |
36 |
$238.87 |
| 76770 |
|
13 |
12 |
$209.26 |
| 93971 |
|
15 |
14 |
$197.70 |
| 74022 |
|
16 |
15 |
$187.60 |
| 76536 |
|
13 |
13 |
$136.90 |
| 73130 |
|
28 |
25 |
$135.32 |
| 77062 |
|
13 |
13 |
$95.76 |
| 76982 |
|
12 |
12 |
$77.15 |
| 72040 |
|
13 |
12 |
$53.64 |
| 73521 |
|
12 |
12 |
$46.06 |
| 77080 |
|
13 |
13 |
$38.69 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
13 |
12 |
$0.00 |
| G9638 |
Final reports without 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) |
26 |
16 |
$0.00 |