| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,040 |
3,581 |
$165K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,779 |
1,652 |
$127K |
| 71045 |
Radiologic examination, chest; single view |
21,089 |
17,236 |
$113K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,599 |
1,464 |
$101K |
| 93976 |
|
778 |
649 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
5,633 |
4,877 |
$35K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
935 |
840 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
936 |
839 |
$14K |
| 71010 |
|
1,711 |
1,272 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
240 |
187 |
$6K |
| 71020 |
|
1,376 |
1,167 |
$4K |
| 76642 |
|
248 |
180 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
41 |
38 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
47 |
40 |
$1K |
| 74018 |
|
221 |
181 |
$1K |
| 72100 |
|
114 |
110 |
$803.84 |
| 73610 |
|
90 |
79 |
$774.58 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$744.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
24 |
$720.60 |
| 73562 |
|
121 |
99 |
$668.52 |
| 73630 |
|
55 |
51 |
$504.58 |
| 73130 |
|
77 |
55 |
$483.10 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
14 |
$290.00 |
| 73110 |
|
31 |
24 |
$202.16 |
| 73030 |
|
12 |
12 |
$121.84 |
| 74000 |
|
31 |
29 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
25 |
24 |
$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) |
869 |
723 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
13 |
13 |
$0.00 |
| 7025F |
|
20 |
20 |
$0.00 |