| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,141 |
1,126 |
$47K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,621 |
1,531 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
6,970 |
6,101 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
473 |
469 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
486 |
477 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,509 |
1,476 |
$8K |
| 93976 |
|
305 |
303 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
113 |
112 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
38 |
38 |
$975.06 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
13 |
$866.41 |
| 73630 |
|
88 |
76 |
$507.59 |
| 73130 |
|
76 |
62 |
$394.78 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
15 |
$380.19 |
| 76642 |
|
14 |
12 |
$355.34 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$353.13 |
| 73030 |
|
58 |
53 |
$339.10 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$316.75 |
| 73610 |
|
54 |
52 |
$305.98 |
| 73110 |
|
45 |
41 |
$217.71 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$169.47 |
| 73562 |
|
43 |
37 |
$163.11 |
| 73502 |
|
15 |
14 |
$48.59 |
| 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 |
12 |
12 |
$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) |
530 |
312 |
$0.00 |