| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,322 |
4,587 |
$264K |
| 71046 |
Radiologic examination, chest; 2 views |
17,951 |
16,063 |
$134K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,978 |
4,218 |
$123K |
| 71045 |
Radiologic examination, chest; single view |
14,538 |
10,354 |
$80K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
289 |
228 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
296 |
244 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
135 |
119 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
130 |
129 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
104 |
63 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
100 |
64 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$999.18 |
| 76642 |
|
31 |
24 |
$654.57 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
14 |
$563.39 |
| 72100 |
|
64 |
63 |
$438.58 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$385.30 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$267.00 |
| 73560 |
|
46 |
40 |
$232.55 |
| 74022 |
|
12 |
12 |
$97.83 |
| 74018 |
|
16 |
12 |
$77.84 |
| 73030 |
|
15 |
12 |
$76.67 |
| 73630 |
|
13 |
12 |
$70.84 |
| 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) |
16 |
14 |
$0.00 |