| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,213 |
1,179 |
$54K |
| 70450 |
Computed tomography, head or brain; without contrast material |
818 |
764 |
$49K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
197 |
192 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,168 |
2,070 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
3,285 |
2,961 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
219 |
217 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
335 |
326 |
$6K |
| 71250 |
|
136 |
134 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
51 |
42 |
$2K |
| 76536 |
|
58 |
58 |
$2K |
| 76770 |
|
48 |
48 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
52 |
42 |
$1K |
| 73630 |
|
107 |
96 |
$1K |
| 73610 |
|
81 |
77 |
$1K |
| 74018 |
|
237 |
224 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
51 |
41 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
28 |
25 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$718.03 |
| 73110 |
|
44 |
39 |
$463.63 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$443.38 |
| 73130 |
|
40 |
39 |
$385.99 |
| 73030 |
|
35 |
34 |
$354.06 |
| 72100 |
|
25 |
24 |
$291.13 |
| 73560 |
|
27 |
25 |
$229.72 |
| 73090 |
|
14 |
14 |
$120.99 |
| 93971 |
|
14 |
13 |
$43.08 |
| 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 |
268 |
260 |
$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) |
684 |
646 |
$0.00 |