| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
11,293 |
10,822 |
$988K |
| 70450 |
Computed tomography, head or brain; without contrast material |
11,347 |
10,720 |
$388K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,026 |
4,733 |
$384K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,100 |
2,099 |
$340K |
| 71046 |
Radiologic examination, chest; 2 views |
23,643 |
23,013 |
$254K |
| 71045 |
Radiologic examination, chest; single view |
25,833 |
23,182 |
$199K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
6,477 |
6,287 |
$151K |
| 76830 |
Ultrasound, transvaginal |
2,408 |
2,346 |
$77K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,339 |
2,273 |
$72K |
| 93976 |
|
873 |
865 |
$47K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,228 |
1,150 |
$36K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
458 |
427 |
$34K |
| 73562 |
|
4,161 |
3,663 |
$34K |
| 73630 |
|
3,763 |
3,503 |
$32K |
| 73610 |
|
3,222 |
3,078 |
$28K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
513 |
489 |
$26K |
| 73130 |
|
2,678 |
2,489 |
$24K |
| 73030 |
|
2,478 |
2,274 |
$23K |
| 76801 |
|
622 |
578 |
$21K |
| 73110 |
|
2,346 |
2,182 |
$19K |
| 74018 |
|
2,101 |
1,870 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
378 |
340 |
$13K |
| 76642 |
|
82 |
76 |
$8K |
| 93971 |
|
410 |
403 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
174 |
155 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
86 |
83 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
147 |
139 |
$4K |
| 73564 |
|
421 |
224 |
$3K |
| 73080 |
|
279 |
271 |
$3K |
| 74019 |
|
221 |
214 |
$2K |
| 71250 |
|
52 |
52 |
$2K |
| 73502 |
|
192 |
187 |
$2K |
| 73090 |
|
242 |
226 |
$2K |
| 76857 |
|
52 |
52 |
$2K |
| 76770 |
|
62 |
61 |
$2K |
| 72100 |
|
153 |
153 |
$2K |
| 73590 |
|
238 |
222 |
$2K |
| 71020 |
|
197 |
152 |
$2K |
| 72131 |
|
36 |
36 |
$1K |
| 93970 |
|
13 |
13 |
$642.98 |
| 72110 |
|
14 |
14 |
$442.19 |
| 71010 |
|
22 |
19 |
$137.52 |
| 73140 |
|
29 |
28 |
$109.08 |
| 72170 |
|
16 |
12 |
$81.09 |
| G9756 |
Surgical procedures that included the use of silicone oil |
109 |
99 |
$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) |
949 |
416 |
$0.00 |