| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,192 |
3,027 |
$166K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,226 |
3,996 |
$112K |
| 71045 |
Radiologic examination, chest; single view |
21,321 |
17,618 |
$82K |
| 71046 |
Radiologic examination, chest; 2 views |
11,829 |
11,372 |
$71K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
507 |
499 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
506 |
499 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
53 |
50 |
$3K |
| 73630 |
|
330 |
296 |
$2K |
| 74018 |
|
383 |
352 |
$2K |
| 76642 |
|
83 |
72 |
$2K |
| 71250 |
|
62 |
60 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
38 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
82 |
81 |
$2K |
| 72100 |
|
187 |
184 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
66 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
27 |
$832.24 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$594.63 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$430.33 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$401.79 |
| 73130 |
|
45 |
39 |
$307.62 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$275.77 |
| 73610 |
|
27 |
26 |
$159.43 |
| 73030 |
|
15 |
14 |
$85.82 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
81 |
69 |
$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) |
6,770 |
5,007 |
$0.00 |