| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
252 |
203 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
407 |
314 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
790 |
634 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
161 |
143 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
227 |
157 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
771 |
604 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
127 |
120 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
89 |
62 |
$1K |
| 74178 |
|
14 |
12 |
$643.75 |
| 76770 |
|
64 |
44 |
$598.92 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
47 |
34 |
$585.00 |
| 71250 |
|
38 |
30 |
$543.80 |
| 72100 |
|
147 |
109 |
$535.67 |
| 76830 |
Ultrasound, transvaginal |
52 |
33 |
$509.78 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
259 |
214 |
$493.20 |
| 76642 |
|
36 |
24 |
$474.48 |
| 73120 |
|
199 |
82 |
$454.96 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$453.96 |
| 73562 |
|
115 |
82 |
$409.52 |
| 70460 |
|
28 |
18 |
$361.79 |
| 93976 |
|
46 |
39 |
$346.06 |
| 74018 |
|
64 |
57 |
$284.27 |
| 73610 |
|
52 |
50 |
$211.68 |
| 73130 |
|
49 |
44 |
$207.65 |
| 73140 |
|
52 |
48 |
$177.76 |
| 73030 |
|
41 |
33 |
$174.40 |
| 73630 |
|
34 |
32 |
$126.47 |
| 73620 |
|
47 |
26 |
$119.24 |
| 73110 |
|
15 |
13 |
$55.44 |
| 73502 |
|
13 |
12 |
$45.22 |
| 3342F |
|
141 |
123 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
382 |
322 |
$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) |
670 |
542 |
$0.00 |
| 7025F |
|
266 |
222 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
47 |
38 |
$0.00 |