| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
819 |
793 |
$35K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
140 |
128 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,648 |
2,289 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
153 |
152 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,024 |
986 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
214 |
210 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
115 |
110 |
$3K |
| 74018 |
|
526 |
494 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$1K |
| 73630 |
|
88 |
81 |
$875.15 |
| 73610 |
|
41 |
40 |
$631.40 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
45 |
42 |
$0.00 |