| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
353 |
324 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
5,482 |
4,127 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
507 |
480 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
151 |
149 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,205 |
1,157 |
$6K |
| 76775 |
|
341 |
326 |
$6K |
| 76830 |
Ultrasound, transvaginal |
172 |
159 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
90 |
89 |
$4K |
| 73030 |
|
455 |
408 |
$4K |
| 73560 |
|
357 |
271 |
$3K |
| 73630 |
|
268 |
236 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
64 |
62 |
$2K |
| 72110 |
|
141 |
139 |
$2K |
| 74018 |
|
545 |
442 |
$2K |
| 72100 |
|
165 |
160 |
$2K |
| 73130 |
|
129 |
119 |
$1K |
| 76770 |
|
35 |
34 |
$790.43 |
| 73564 |
|
42 |
42 |
$445.80 |
| 76536 |
|
14 |
14 |
$391.49 |
| 73610 |
|
27 |
27 |
$382.06 |
| 71250 |
|
12 |
12 |
$356.49 |
| 73562 |
|
19 |
19 |
$209.61 |
| 73110 |
|
13 |
12 |
$131.29 |
| 72170 |
|
12 |
12 |
$75.12 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
333 |
299 |
$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) |
155 |
114 |
$0.00 |