| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
678 |
656 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
4,503 |
4,075 |
$20K |
| 73630 |
|
1,719 |
1,538 |
$20K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
914 |
901 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,826 |
2,669 |
$19K |
| 76830 |
Ultrasound, transvaginal |
502 |
479 |
$17K |
| 73610 |
|
930 |
878 |
$14K |
| 74183 |
|
75 |
74 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
69 |
63 |
$11K |
| 73560 |
|
865 |
770 |
$9K |
| 73030 |
|
705 |
662 |
$7K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
131 |
129 |
$7K |
| 73130 |
|
615 |
560 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
169 |
160 |
$6K |
| 74018 |
|
876 |
819 |
$5K |
| 73110 |
|
369 |
345 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
26 |
$3K |
| 72100 |
|
187 |
180 |
$2K |
| 76536 |
|
82 |
81 |
$2K |
| 72110 |
|
122 |
120 |
$2K |
| 73140 |
|
205 |
198 |
$2K |
| 76770 |
|
47 |
47 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
24 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$1K |
| 73562 |
|
85 |
79 |
$998.66 |
| 74230 |
|
29 |
29 |
$894.77 |
| 73502 |
|
71 |
69 |
$546.22 |
| 73080 |
|
29 |
29 |
$256.51 |
| 72050 |
|
13 |
13 |
$214.03 |
| 73590 |
|
15 |
12 |
$160.43 |
| 72072 |
|
13 |
13 |
$157.07 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
124 |
111 |
$0.00 |