| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,625 |
1,554 |
$69K |
| 71046 |
Radiologic examination, chest; 2 views |
8,939 |
8,371 |
$46K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,008 |
2,901 |
$44K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,937 |
2,853 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,686 |
1,591 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
759 |
744 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
411 |
315 |
$10K |
| 76830 |
Ultrasound, transvaginal |
487 |
475 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
515 |
494 |
$8K |
| 93976 |
|
271 |
267 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,287 |
877 |
$5K |
| 76642 |
|
275 |
217 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
110 |
106 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
178 |
175 |
$4K |
| 73630 |
|
540 |
505 |
$2K |
| 72100 |
|
346 |
336 |
$2K |
| 73562 |
|
365 |
307 |
$2K |
| 73564 |
|
291 |
259 |
$2K |
| 72110 |
|
273 |
269 |
$2K |
| 73610 |
|
277 |
269 |
$1K |
| 73502 |
|
166 |
161 |
$765.18 |
| 73030 |
|
139 |
126 |
$729.88 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$644.29 |
| 73130 |
|
123 |
117 |
$599.05 |
| 36573 |
|
15 |
14 |
$428.77 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$410.19 |
| 72050 |
|
53 |
53 |
$340.62 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
16 |
16 |
$278.19 |
| 93971 |
|
26 |
26 |
$251.11 |
| 76536 |
|
13 |
13 |
$205.27 |
| 74018 |
|
31 |
25 |
$111.38 |
| 73110 |
|
26 |
26 |
$108.53 |
| 74022 |
|
15 |
12 |
$88.07 |
| 73140 |
|
14 |
14 |
$67.51 |
| 72040 |
|
12 |
12 |
$66.93 |
| 77080 |
|
14 |
14 |
$21.97 |
| 3342F |
|
26 |
26 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
284 |
264 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
97 |
81 |
$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) |
1,123 |
924 |
$0.00 |
| 7025F |
|
92 |
92 |
$0.00 |
| 3341F |
|
12 |
12 |
$0.00 |