| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
570 |
557 |
$67K |
| 70450 |
Computed tomography, head or brain; without contrast material |
630 |
614 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
223 |
214 |
$12K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,141 |
1,101 |
$9K |
| 76830 |
Ultrasound, transvaginal |
155 |
154 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
248 |
246 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
569 |
557 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
180 |
179 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
84 |
83 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
53 |
53 |
$4K |
| 74018 |
|
245 |
236 |
$3K |
| 71250 |
|
63 |
63 |
$3K |
| 76770 |
|
69 |
67 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
49 |
$2K |
| 76536 |
|
42 |
41 |
$2K |
| 76801 |
|
39 |
37 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
84 |
83 |
$2K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
39 |
39 |
$947.39 |
| A9578 |
Injection, gadobenate dimeglumine (multihance multipack), per ml |
50 |
50 |
$816.73 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$545.59 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
31 |
29 |
$0.01 |