| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
865 |
850 |
$41K |
| 73630 |
|
1,667 |
1,509 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
4,055 |
3,612 |
$17K |
| 76830 |
Ultrasound, transvaginal |
494 |
480 |
$16K |
| 73610 |
|
915 |
867 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,896 |
1,791 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
254 |
247 |
$8K |
| 73560 |
|
693 |
611 |
$7K |
| 73110 |
|
497 |
464 |
$6K |
| 73130 |
|
515 |
466 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
56 |
52 |
$5K |
| 74018 |
|
936 |
859 |
$5K |
| 73030 |
|
468 |
445 |
$5K |
| 74183 |
|
24 |
24 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
40 |
38 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
144 |
141 |
$3K |
| 73140 |
|
231 |
218 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
54 |
52 |
$2K |
| 72100 |
|
101 |
99 |
$1K |
| 74230 |
|
33 |
28 |
$867.85 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$596.94 |
| 71250 |
|
17 |
16 |
$545.33 |
| 76770 |
|
14 |
13 |
$476.84 |
| 73562 |
|
40 |
38 |
$431.04 |
| 76536 |
|
13 |
13 |
$385.06 |
| 73502 |
|
54 |
51 |
$377.16 |
| 72110 |
|
17 |
17 |
$375.56 |
| 93976 |
|
13 |
13 |
$314.21 |
| 76376 |
|
43 |
40 |
$219.77 |
| 70355 |
|
15 |
15 |
$202.87 |
| 73090 |
|
14 |
13 |
$164.70 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
80 |
74 |
$0.00 |