| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,899 |
4,681 |
$204K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,296 |
11,048 |
$202K |
| 71045 |
Radiologic examination, chest; single view |
35,546 |
26,705 |
$129K |
| 71046 |
Radiologic examination, chest; 2 views |
13,758 |
11,743 |
$83K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,910 |
2,098 |
$72K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,945 |
2,165 |
$52K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,184 |
855 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,550 |
2,000 |
$34K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,834 |
1,252 |
$30K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,583 |
1,993 |
$27K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
975 |
735 |
$16K |
| 93971 |
|
564 |
417 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
197 |
155 |
$4K |
| 74018 |
|
887 |
688 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
173 |
123 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
150 |
113 |
$3K |
| 76642 |
|
268 |
140 |
$3K |
| 76937 |
|
436 |
334 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
67 |
54 |
$2K |
| 93970 |
|
154 |
118 |
$2K |
| 76830 |
Ultrasound, transvaginal |
74 |
58 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
34 |
24 |
$1K |
| 77001 |
|
231 |
180 |
$1K |
| 73564 |
|
170 |
127 |
$911.82 |
| 77066 |
Tomosynthesis, mammo |
59 |
42 |
$870.83 |
| 73630 |
|
177 |
122 |
$810.83 |
| 77065 |
Tomosynthesis, mammo |
98 |
54 |
$622.64 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
18 |
12 |
$533.85 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$510.19 |
| 76770 |
|
30 |
25 |
$417.51 |
| 71250 |
|
21 |
12 |
$329.76 |
| 74019 |
|
38 |
37 |
$313.48 |
| 73130 |
|
54 |
40 |
$281.42 |
| 93880 |
|
58 |
44 |
$279.19 |
| 73502 |
|
79 |
55 |
$275.23 |
| 73610 |
|
51 |
37 |
$253.95 |
| 72100 |
|
37 |
27 |
$219.10 |
| 73030 |
|
19 |
13 |
$93.48 |
| 74230 |
|
15 |
12 |
$73.55 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,397 |
2,125 |
$0.00 |
| 77062 |
|
42 |
27 |
$0.00 |