| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
745 |
718 |
$42K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
493 |
478 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
3,136 |
2,628 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
101 |
100 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
159 |
153 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
779 |
731 |
$4K |
| 76830 |
Ultrasound, transvaginal |
101 |
98 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
196 |
189 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
91 |
85 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
14 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
72 |
71 |
$2K |
| 76801 |
|
60 |
52 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
62 |
61 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
45 |
43 |
$1K |
| 73630 |
|
121 |
114 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
29 |
$912.74 |
| 74018 |
|
148 |
140 |
$535.46 |
| 93970 |
|
38 |
37 |
$419.57 |
| 70486 |
|
12 |
12 |
$319.41 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$308.57 |
| 73610 |
|
25 |
24 |
$304.69 |
| 73130 |
|
29 |
28 |
$257.05 |
| 73030 |
|
13 |
13 |
$128.52 |
| 74230 |
|
12 |
12 |
$63.50 |
| 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) |
148 |
135 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
85 |
77 |
$0.00 |