| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,958 |
3,768 |
$250K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,141 |
6,751 |
$147K |
| 71046 |
Radiologic examination, chest; 2 views |
14,441 |
14,041 |
$130K |
| 71045 |
Radiologic examination, chest; single view |
21,630 |
16,902 |
$116K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,010 |
1,921 |
$114K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,446 |
4,378 |
$108K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,406 |
2,376 |
$70K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,802 |
1,801 |
$68K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,601 |
1,516 |
$66K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,719 |
1,712 |
$51K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,233 |
1,192 |
$40K |
| 76770 |
|
1,370 |
1,357 |
$33K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,116 |
1,101 |
$30K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
913 |
893 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
626 |
622 |
$25K |
| 73562 |
|
3,011 |
2,602 |
$23K |
| 70486 |
|
528 |
496 |
$20K |
| 73630 |
|
2,302 |
2,094 |
$19K |
| 73130 |
|
1,924 |
1,732 |
$17K |
| 73030 |
|
2,074 |
1,881 |
$17K |
| 93971 |
|
1,277 |
1,232 |
$16K |
| 74018 |
|
2,229 |
2,082 |
$15K |
| 76801 |
|
531 |
526 |
$15K |
| 72110 |
|
982 |
978 |
$14K |
| 73610 |
|
1,614 |
1,539 |
$14K |
| 93970 |
|
362 |
359 |
$13K |
| 73110 |
|
941 |
881 |
$8K |
| 72100 |
|
753 |
748 |
$8K |
| 76830 |
Ultrasound, transvaginal |
245 |
245 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
216 |
212 |
$5K |
| 73502 |
|
551 |
539 |
$4K |
| 76536 |
|
207 |
204 |
$4K |
| 76642 |
|
125 |
100 |
$4K |
| 73080 |
|
412 |
398 |
$4K |
| 76870 |
|
113 |
110 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
89 |
76 |
$3K |
| 93880 |
|
149 |
149 |
$3K |
| 71250 |
|
130 |
121 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
88 |
88 |
$2K |
| 73590 |
|
309 |
279 |
$2K |
| 74181 |
|
41 |
40 |
$2K |
| 73620 |
|
328 |
173 |
$2K |
| 73090 |
|
202 |
191 |
$2K |
| 70498 |
|
29 |
29 |
$2K |
| 73140 |
|
282 |
273 |
$2K |
| 70496 |
|
43 |
42 |
$2K |
| 74019 |
|
192 |
185 |
$2K |
| 71020 |
|
153 |
121 |
$1K |
| 72050 |
|
99 |
99 |
$1K |
| 71010 |
|
152 |
139 |
$1K |
| 76641 |
|
31 |
27 |
$1K |
| 71101 |
|
97 |
94 |
$969.32 |
| 72072 |
|
74 |
74 |
$664.79 |
| 72040 |
|
84 |
83 |
$622.87 |
| 72131 |
|
26 |
25 |
$520.30 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
18 |
18 |
$439.50 |
| 73552 |
|
38 |
36 |
$305.67 |
| 73560 |
|
46 |
41 |
$202.63 |
| 73660 |
|
13 |
13 |
$77.16 |
| 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) |
79 |
39 |
$0.00 |