| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,659 |
1,597 |
$72K |
| 70450 |
Computed tomography, head or brain; without contrast material |
829 |
774 |
$51K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
636 |
606 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
196 |
183 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
3,298 |
3,134 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
4,054 |
3,442 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
413 |
362 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
411 |
360 |
$9K |
| 73630 |
|
700 |
649 |
$7K |
| 76830 |
Ultrasound, transvaginal |
155 |
146 |
$5K |
| 72100 |
|
346 |
337 |
$4K |
| 74018 |
|
895 |
801 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
110 |
94 |
$4K |
| 73610 |
|
254 |
248 |
$3K |
| 76642 |
|
152 |
134 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
86 |
79 |
$2K |
| 73030 |
|
221 |
216 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
80 |
65 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
86 |
77 |
$2K |
| 73564 |
|
131 |
127 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
35 |
32 |
$951.33 |
| 73130 |
|
56 |
54 |
$440.22 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$327.84 |
| 73110 |
|
26 |
26 |
$269.74 |
| G1011 |
Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program |
12 |
12 |
$0.00 |