| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,635 |
3,009 |
$102K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,751 |
2,102 |
$48K |
| 71046 |
Radiologic examination, chest; 2 views |
8,545 |
7,002 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
6,471 |
4,345 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
526 |
505 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
521 |
399 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
526 |
505 |
$11K |
| 73630 |
|
2,241 |
1,701 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
132 |
106 |
$3K |
| 73610 |
|
687 |
572 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
53 |
38 |
$2K |
| 73562 |
|
446 |
347 |
$2K |
| 73030 |
|
544 |
408 |
$2K |
| 71250 |
|
95 |
74 |
$2K |
| 74018 |
|
455 |
354 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
71 |
66 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
42 |
40 |
$1K |
| 73130 |
|
278 |
211 |
$1K |
| 72100 |
|
158 |
139 |
$784.17 |
| 76642 |
|
21 |
16 |
$538.49 |
| 73110 |
|
129 |
117 |
$533.70 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$298.94 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$165.69 |
| 73140 |
|
27 |
26 |
$81.64 |
| 73100 |
|
19 |
14 |
$77.86 |
| 73502 |
|
15 |
13 |
$62.97 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
378 |
218 |
$0.00 |