| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,547 |
2,317 |
$165K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,564 |
2,456 |
$118K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
758 |
714 |
$78K |
| 71045 |
Radiologic examination, chest; single view |
6,617 |
5,491 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
452 |
445 |
$19K |
| 76830 |
Ultrasound, transvaginal |
550 |
522 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
904 |
882 |
$17K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
358 |
342 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,308 |
1,244 |
$8K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
78 |
73 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
165 |
156 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
134 |
118 |
$4K |
| 74018 |
|
886 |
800 |
$4K |
| 73630 |
|
153 |
145 |
$1K |
| 73610 |
|
107 |
99 |
$1K |
| 73560 |
|
155 |
136 |
$1K |
| 76770 |
|
45 |
43 |
$1K |
| 72131 |
|
28 |
28 |
$1K |
| 73130 |
|
67 |
53 |
$698.95 |
| 73030 |
|
32 |
27 |
$327.45 |
| 71250 |
|
13 |
13 |
$250.80 |
| 73110 |
|
12 |
12 |
$143.40 |
| 72100 |
|
13 |
12 |
$135.72 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
190 |
173 |
$0.00 |