| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,311 |
6,308 |
$458K |
| 71046 |
Radiologic examination, chest; 2 views |
23,745 |
20,587 |
$200K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,894 |
7,617 |
$195K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,023 |
2,526 |
$98K |
| 71045 |
Radiologic examination, chest; single view |
23,972 |
17,964 |
$95K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
926 |
792 |
$63K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
467 |
394 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
799 |
689 |
$26K |
| 73630 |
|
1,747 |
1,337 |
$14K |
| 74018 |
|
1,724 |
1,365 |
$14K |
| 73562 |
|
1,232 |
971 |
$10K |
| 76770 |
|
179 |
139 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
111 |
98 |
$5K |
| 73610 |
|
521 |
443 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
634 |
544 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
148 |
125 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
100 |
96 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
98 |
93 |
$3K |
| 76642 |
|
66 |
48 |
$3K |
| 74021 |
|
214 |
203 |
$2K |
| 76830 |
Ultrasound, transvaginal |
44 |
37 |
$2K |
| 72100 |
|
128 |
103 |
$2K |
| 73030 |
|
177 |
148 |
$1K |
| 73130 |
|
153 |
134 |
$1K |
| 73502 |
|
125 |
90 |
$1K |
| 93971 |
|
44 |
39 |
$596.89 |
| 76536 |
|
14 |
12 |
$545.43 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$508.45 |
| 76775 |
|
31 |
30 |
$366.64 |
| 72050 |
|
12 |
12 |
$243.34 |
| 73110 |
|
29 |
24 |
$189.57 |
| 73140 |
|
14 |
12 |
$77.33 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
241 |
214 |
$0.00 |