| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,788 |
1,722 |
$85K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
456 |
417 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
5,224 |
4,599 |
$23K |
| 71250 |
|
668 |
620 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
3,101 |
2,931 |
$20K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
432 |
403 |
$19K |
| 73630 |
|
1,427 |
1,297 |
$16K |
| 73610 |
|
762 |
723 |
$11K |
| 74018 |
|
1,971 |
1,832 |
$10K |
| 74183 |
|
67 |
67 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
214 |
209 |
$9K |
| 76830 |
Ultrasound, transvaginal |
228 |
217 |
$8K |
| 73560 |
|
764 |
673 |
$7K |
| 73030 |
|
614 |
575 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
238 |
234 |
$5K |
| 73130 |
|
361 |
332 |
$4K |
| 73110 |
|
325 |
303 |
$4K |
| 73140 |
|
169 |
160 |
$2K |
| 72100 |
|
145 |
138 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
29 |
29 |
$1K |
| 73502 |
|
170 |
164 |
$1K |
| 93976 |
|
38 |
36 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
15 |
$859.14 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$775.18 |
| 72110 |
|
35 |
35 |
$621.01 |
| 73080 |
|
50 |
44 |
$486.66 |
| 72050 |
|
15 |
13 |
$225.91 |
| 73590 |
|
14 |
13 |
$158.21 |
| 73562 |
|
14 |
12 |
$149.72 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
105 |
98 |
$0.00 |