| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,003 |
950 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
767 |
731 |
$46K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
220 |
211 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
2,435 |
2,231 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
2,858 |
2,452 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
112 |
101 |
$11K |
| 73630 |
|
668 |
633 |
$8K |
| 74018 |
|
829 |
732 |
$6K |
| 73610 |
|
326 |
312 |
$5K |
| 73221 |
|
27 |
27 |
$5K |
| 73130 |
|
422 |
361 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
109 |
92 |
$5K |
| 73110 |
|
261 |
240 |
$4K |
| 73030 |
|
295 |
271 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
54 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
51 |
50 |
$2K |
| 72100 |
|
137 |
123 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
37 |
$1K |
| 73562 |
|
87 |
76 |
$1K |
| 71250 |
|
27 |
26 |
$852.04 |
| 73560 |
|
81 |
72 |
$726.25 |
| 73090 |
|
16 |
16 |
$172.07 |
| 72020 |
|
13 |
12 |
$80.01 |
| 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) |
687 |
625 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
192 |
185 |
$0.00 |