| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
9,860 |
8,009 |
$169K |
| 71045 |
Radiologic examination, chest; single view |
49,259 |
32,993 |
$154K |
| 71046 |
Radiologic examination, chest; 2 views |
20,848 |
15,938 |
$98K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,552 |
1,297 |
$62K |
| 74018 |
|
3,344 |
2,022 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,014 |
781 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
192 |
183 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
270 |
196 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
203 |
189 |
$5K |
| 76801 |
|
121 |
93 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
43 |
37 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
88 |
71 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
30 |
24 |
$2K |
| 76642 |
|
105 |
79 |
$2K |
| 93976 |
|
28 |
28 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
37 |
27 |
$827.92 |
| 93975 |
|
13 |
12 |
$820.11 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
37 |
29 |
$803.47 |
| 76376 |
|
200 |
144 |
$628.93 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
25 |
$477.54 |
| 73630 |
|
61 |
49 |
$315.68 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$310.50 |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$181.48 |
| 73562 |
|
36 |
27 |
$171.16 |
| 73030 |
|
27 |
25 |
$138.74 |
| 73610 |
|
17 |
12 |
$78.79 |
| 73110 |
|
14 |
13 |
$78.01 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
12 |
$27.62 |
| 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) |
2,540 |
2,177 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
232 |
210 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
845 |
737 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
224 |
212 |
$0.00 |