| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
350 |
314 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,962 |
2,739 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,998 |
1,889 |
$10K |
| 76830 |
Ultrasound, transvaginal |
231 |
224 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
180 |
173 |
$5K |
| 71271 |
|
98 |
76 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
107 |
105 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
40 |
40 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
24 |
24 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
47 |
39 |
$1K |
| 77080 |
|
144 |
142 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
31 |
26 |
$986.43 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
32 |
32 |
$766.46 |
| 71250 |
|
48 |
42 |
$744.54 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$606.48 |
| 73630 |
|
69 |
64 |
$599.89 |
| 72100 |
|
41 |
40 |
$571.12 |
| 73610 |
|
26 |
24 |
$403.58 |
| 73030 |
|
12 |
12 |
$144.30 |
| 74018 |
|
12 |
12 |
$60.94 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
92 |
91 |
$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) |
317 |
284 |
$0.00 |