| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,217 |
1,111 |
$57K |
| 71045 |
Radiologic examination, chest; single view |
16,374 |
10,773 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,547 |
1,354 |
$35K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
620 |
560 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
6,440 |
5,573 |
$28K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
126 |
120 |
$3K |
| 74018 |
|
453 |
374 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
67 |
65 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
32 |
30 |
$2K |
| 71250 |
|
76 |
65 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
75 |
54 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
28 |
$1K |
| 73630 |
|
142 |
111 |
$709.84 |
| 76642 |
|
28 |
25 |
$650.67 |
| 73130 |
|
85 |
71 |
$464.02 |
| 73610 |
|
75 |
67 |
$453.58 |
| 73562 |
|
61 |
55 |
$451.14 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$326.81 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
15 |
$314.76 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$310.06 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
12 |
$304.59 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$289.40 |
| 73110 |
|
36 |
27 |
$212.68 |
| 73030 |
|
20 |
18 |
$118.19 |
| 73502 |
|
15 |
13 |
$106.86 |
| 72100 |
|
14 |
13 |
$73.59 |
| 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) |
1,139 |
894 |
$0.00 |